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SPECTRUM MEDICAL AND EQUIPMENT SUPPLY NPI 1144245069


NPI Information

NPI: 1144245069
Provider Name: SPECTRUM MEDICAL AND EQUIPMENT SUPPLY
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
2601 DEL ROSA AVE
B240-SUITE 104
SAN BERNARDINO, CA
ZIP 92404
Phone: (909) 380-5025
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SPECTRUM MEDICAL AND EQUIPMENT SUPPLY is a durable medical equipment medical supplies in San Bernardino, 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. SPECTRUM MEDICAL AND EQUIPMENT SUPPLY NPI is 1144245069. The provider is registered as an organization entity type.

The provider's business location address is:

2601 DEL ROSA AVE
B240-SUITE 104
SAN BERNARDINO, CA
ZIP 92404-412
Phone: (909) 380-5025
Fax: (909) 886-2263

The provider's authorized official is Charles Okpala .
The authorized official title is Ceo and has the following contact phone number (909) 886-2263.

The enumeration date for this NPI number is 7/13/2006 and was last updated on 1/4/2010.


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 Supplies103779CALIFORNIAYes

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
15230410001MEDICARE 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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