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ANGELES VISTA MEDICAL SUPPLIES NPI 1417041112


NPI Information

NPI: 1417041112
Provider Name: ANGELES VISTA MEDICAL SUPPLIES
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
11929 LOS NIETOS ROAD
SANTA FE SPRINGS, CA
ZIP 90670
Phone: (562) 699-7200
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ANGELES VISTA MEDICAL SUPPLIES is a durable medical equipment medical supplies in Santa Fe Springs, CA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. ANGELES VISTA MEDICAL SUPPLIES NPI is 1417041112. The provider is registered as an organization entity type.

The provider's business location address is:

11929 LOS NIETOS ROAD
SANTA FE SPRINGS, CA
ZIP 90670-527
Phone: (562) 699-7200
Fax: (562) 699-7210

The provider's authorized official is Markson Bola Alabi .
The authorized official title is Sole-proprietor and has the following contact phone number (562) 699-7200.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 8/31/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentDME02177FCALIFORNIANo
2332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & SuppliesDME02177FCALIFORNIANo
3332B00000XDurable Medical Equipment & Medical SuppliesDME02177FCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DME02177FMEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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