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ALLIED MEDICAL SUPPLY INC NPI 1154369049


NPI Information

NPI: 1154369049
Provider Name: ALLIED MEDICAL SUPPLY, INC

Former Legal Business Name: ALLIED MEDICAL & SURGICAL SUPPLY CO.

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
170 EL CAMINO REAL STE 101
TUSTIN, CA
ZIP 92780
Phone: (714) 617-4622
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ALLIED MEDICAL SUPPLY, INC is a durable medical equipment medical supplies in Tustin, 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. ALLIED MEDICAL SUPPLY, INC NPI is 1154369049. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Allied Medical & Surgical Supply Co..

The provider's business location address is:

170 EL CAMINO REAL STE 101
TUSTIN, CA
ZIP 92780-658
Phone: (714) 617-4622
Fax: (714) 617-4176

The provider's authorized official is Livia De Los Rios .
The authorized official title is President/ceo and has the following contact phone number (714) 935-9200.

The enumeration date for this NPI number is 6/3/2006 and was last updated on 5/5/2020.


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 EquipmentNo
2332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & SuppliesNo
3332B00000XDurable Medical Equipment & Medical Supplies50074CALIFORNIAYes

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
11154369049MEDICAIDCALIFORNIA

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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