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LIVE WELL MEDICAL SUPPLIES INC. NPI 1194082354


NPI Information

NPI: 1194082354
Provider Name: LIVE WELL MEDICAL SUPPLIES, INC.
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
7338 SYCAMORE CANYON BLVD
SUITE 1
RIVERSIDE, CA
ZIP 92508
Phone: (951) 656-3700
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LIVE WELL MEDICAL SUPPLIES, INC. 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. LIVE WELL MEDICAL SUPPLIES, INC. NPI is 1194082354. The provider is registered as an organization entity type.

The provider's business location address is:

7338 SYCAMORE CANYON BLVD
SUITE 1
RIVERSIDE, CA
ZIP 92508-318
Phone: (951) 656-3700
Fax: (951) 697-5866

The provider's authorized official is Brian Kieth Sirko .
The authorized official title is President/ceo and has the following contact phone number (951) 656-3700.

The enumeration date for this NPI number is 4/12/2012 and was last updated on 4/12/2012.


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 Supplies55273CALIFORNIAYes

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
155273OTHERCALIFORNIAHOME MEDICAL DEVICE RETAILER

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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