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LIBERTY MEDICALSUPPLY CO NPI 1003937905


NPI Information

NPI: 1003937905
Provider Name: LIBERTY MEDICAL,SUPPLY CO
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
24877 SUNNYMEAD BLVD
MORENO VALLEY, CA
ZIP 92553
Phone: (951) 924-8500
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LIBERTY MEDICAL,SUPPLY CO is a durable medical equipment medical supplies in Moreno Valley, 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. LIBERTY MEDICAL,SUPPLY CO NPI is 1003937905. The provider is registered as an organization entity type.

The provider's business location address is:

24877 SUNNYMEAD BLVD
MORENO VALLEY, CA
ZIP 92553-702
Phone: (951) 924-8500
Fax: (951) 924-0151

The provider's authorized official is Olabisi Adebowale .
The authorized official title is Director and has the following contact phone number (951) 924-8500.

The enumeration date for this NPI number is 4/2/2007 and was last updated on 12/14/2007.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical Supplies46993CALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14867080001MEDICARE 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: 5/5/2024

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