FORMULATION MATERIALS NPI 1609712728

NPI Information

  • NPI: 1609712728
  • Provider Name: FORMULATION MATERIALS
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Address: 9121 DARWIN RD
    PHELAN, CA
    ZIP 92371
  • Phone: (213) 800-9815

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NPI Details

FORMULATION MATERIALS is a durable medical equipment medical supplies in Phelan, 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. FORMULATION MATERIALS NPI is 1609712728. The provider is registered as an organization entity type.

The provider's business location address is:

9121 DARWIN RD
PHELAN, CA
ZIP 92371-294
Phone: (213) 800-9815

The provider's authorized official is Darryl Lateef Johnson .
The authorized official title is Ceo and has the following contact phone number (213) 800-9815.

The enumeration date for this NPI number is 4/29/2026 and was last updated on 4/29/2026.

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
1332B00000XDurable Medical Equipment & Medical SuppliesYes

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: 11/21/2025

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