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BEACHWOOD MEDICAL SUPPLY INC NPI 1083885768


NPI Information

NPI: 1083885768
Provider Name: BEACHWOOD MEDICAL SUPPLY, INC

Doing Business As: BEACHWOOD MEDICAL SUPPLY

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
13851 GARVEY AVE
SUITE B3
BALDWIN PARK, CA
ZIP 91706
Phone: (626) 338-5300
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BEACHWOOD MEDICAL SUPPLY, INC is a durable medical equipment medical supplies in Baldwin Park, 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. BEACHWOOD MEDICAL SUPPLY, INC NPI is 1083885768. The provider is registered as an organization entity type.
The provider Is Doing Business As Beachwood Medical Supply.

The provider's business location address is:

13851 GARVEY AVE
SUITE B3
BALDWIN PARK, CA
ZIP 91706-910
Phone: (626) 338-5300
Fax: (626) 338-5800

The provider's authorized official is Maher Kaldas .
The authorized official title is Ceo/rph and has the following contact phone number (626) 338-5300.

The enumeration date for this NPI number is 3/20/2008 and was last updated on 8/12/2013.


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
1332BN1400XDurable Medical Equipment & Medical SuppliesNursing Facility Supplies49803CALIFORNIANo
2332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition49803CALIFORNIANo
3332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies49803CALIFORNIANo
4335E00000XProsthetic/Orthotic Supplier49803CALIFORNIANo
5332B00000XDurable Medical Equipment & Medical SuppliesMP00845NEVADANo
6332BN1400XDurable Medical Equipment & Medical SuppliesNursing Facility SuppliesMP00845NEVADANo
7332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & SuppliesMP00845NEVADANo
8332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral NutritionMP00845NEVADANo
9335E00000XProsthetic/Orthotic SupplierMP00845NEVADANo
10332B00000XDurable Medical Equipment & Medical Supplies49803CALIFORNIAYes

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
149803OTHERCALIFORNIAHOME MEDICAL DEVICE RETAIL LICENSE
2MP00845OTHERNEVADANEVADA STATE BOARD OF PHARMACY, MEDICAL DEVICES, EQUIPMENT, GAS LICENSE
3152161OTHERCALIFORNIAHOME FURNISHINGS/THERMAL
46535110001MEDICARE NSCCALIFORNIA
51083885768MEDICAIDCALIFORNIA

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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