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VANTAGE MEDICAL SUPPLY INC NPI 1891745915


NPI Information

NPI: 1891745915
Provider Name: VANTAGE MEDICAL SUPPLY, INC
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
427 N LONG BEACH BLVD
COMPTON, CA
ZIP 90221
Phone: (310) 763-2234
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VANTAGE MEDICAL SUPPLY, INC is a customized equipment durable medical equipment medical supplies in Compton, CA. VANTAGE MEDICAL SUPPLY, INC NPI is 1891745915. The provider is registered as an organization entity type.

The provider's business location address is:

427 N LONG BEACH BLVD
COMPTON, CA
ZIP 90221-218
Phone: (310) 763-2234
Fax: (310) 763-2058

The provider's authorized official is Fabian Maduabuchi Okwaraji .
The authorized official title is Director and has the following contact phone number (310) 763-2234.

The enumeration date for this NPI number is 5/11/2006 and was last updated on 7/9/2009.


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 Equipment103756CALIFORNIANo
2332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentCALIFORNIAYes

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
15717400001MEDICARE NSC
28577638MEDICAIDCALIFORNIA
35717400001MEDICARE 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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