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PIONEER MEDICAL SUPPLY SERVICE NPI 1740248475


NPI Information

NPI: 1740248475
Provider Name: PIONEER MEDICAL SUPPLY SERVICE
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
8221 S WESTERN AVE
LOS ANGELES, CA
ZIP 90047
Phone: (323) 778-3815
Get Directions

PIONEER MEDICAL SUPPLY SERVICE is a durable medical equipment medical supplies in Los Angeles, 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. PIONEER MEDICAL SUPPLY SERVICE NPI is 1740248475. The provider is registered as an organization entity type.

The provider's business location address is:

8221 S WESTERN AVE
LOS ANGELES, CA
ZIP 90047-036
Phone: (323) 778-3815
Fax: (323) 778-3819

The provider's authorized official is Ben Agha Offor .
The authorized official title is Managing Director and has the following contact phone number (323) 778-3815.

The enumeration date for this NPI number is 5/2/2006 and was last updated on 11/13/2007.


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
1332B00000XDurable Medical Equipment & Medical Supplies103149CALIFORNIAYes

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
1DME03188FMEDICAIDCALIFORNIA
24815740001MEDICARE NSCCALIFORNIA

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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