PEARL VENTURES NPI 1487746327

NPI Information

NPI: 1487746327
Provider Name: PEARL VENTURES

Doing Business As: PEARL MEDICAL SUPPLY

Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
1012 E COOLEY DR STE N
COLTON, CA
ZIP 92324
Phone: (909) 422-8005
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PEARL VENTURES is a customized equipment durable medical equipment medical supplies in Colton, CA. PEARL VENTURES NPI is 1487746327. The provider is registered as an organization entity type.
The provider Is Doing Business As Pearl Medical Supply.

The provider's business location address is:

1012 E COOLEY DR STE N
COLTON, CA
ZIP 92324-949
Phone: (909) 422-8005
Fax: (909) 824-1080

The provider's authorized official is Ofonime Ukpong .
The authorized official title is Manager and has the following contact phone number (909) 422-8005.

The enumeration date for this NPI number is 9/29/2006 and was last updated on 10/7/2019.

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	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	DME02470F	MEDICAID	CALIFORNIA

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

NPI Synchronization or Removal

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