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 Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 3336M0002X | Pharmacy | Mail Order Pharmacy | WLS 4237 | CALIFORNIA | No |
| 2 | 335E00000X | Prosthetic/Orthotic Supplier | | WLS 4237 | CALIFORNIA | No |
| 3 | 332BX2000X | Durable Medical Equipment & Medical Supplies | Oxygen Equipment & Supplies | WLS4237 | CALIFORNIA | No |
| 4 | 332BN1400X | Durable Medical Equipment & Medical Supplies | Nursing Facility Supplies | WLS4237 | CALIFORNIA | No |
| 5 | 332BP3500X | Durable Medical Equipment & Medical Supplies | Parenteral & Enteral Nutrition | WLS 4237 | CALIFORNIA | No |
| 6 | 332B00000X | Durable Medical Equipment & Medical Supplies | | 63370 | CALIFORNIA | Yes |