Provider Type Icon

PETER P. KIM NPI 1164538369


NPI Information

NPI: 1164538369
Provider Name: PETER P. KIM

Doing Business As: RIVERSIDE MEDICAL SUPPLY, CO.

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
10280 INDIANA AVE
RIVERSIDE, CA
ZIP 92503
Phone: (951) 343-0428
Get Directions

PETER P. KIM is a durable medical equipment medical supplies in Riverside, 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. PETER P. KIM NPI is 1164538369. The provider is registered as an organization entity type.
The provider Is Doing Business As Riverside Medical Supply, Co..

The provider's business location address is:

10280 INDIANA AVE
RIVERSIDE, CA
ZIP 92503-357
Phone: (951) 343-0428
Fax: (951) 343-0438

The provider's authorized official is Peter P Kim .
The authorized official title is Owner and has the following contact phone number (951) 343-0428.

The enumeration date for this NPI number is 8/21/2006 and was last updated on 1/26/2011.


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 SuppliesNo
2332B00000XDurable Medical Equipment & Medical Supplies44384CALIFORNIAYes

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
15448620001MEDICARE ID-TYPE UNSPECIFIEDBY CMS
217867OTHERCALIFORNIAHMDR EXEMPTEE LICENSE
344384OTHERCALIFORNIAHOME MED DEVICE RETAIL
45448620001MEDICARE PIN
59424937MEDICAIDCALIFORNIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.