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ANGEL MEDICAL SUPPLY INC. NPI 1851463038


NPI Information

NPI: 1851463038
Provider Name: ANGEL MEDICAL SUPPLY, INC.
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
604 W MISSION BLVD
POMONA, CA
ZIP 91766
Phone: (909) 620-3940
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ANGEL MEDICAL SUPPLY, INC. is a durable medical equipment medical supplies in Pomona, 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. ANGEL MEDICAL SUPPLY, INC. NPI is 1851463038. The provider is registered as an organization entity type.

The provider's business location address is:

604 W MISSION BLVD
POMONA, CA
ZIP 91766-535
Phone: (909) 620-3940
Fax: (909) 620-8850

The provider's authorized official is Yoon Jee Byun .
The authorized official title is President and has the following contact phone number (909) 620-3940.

The enumeration date for this NPI number is 11/14/2006 and was last updated on 11/8/2010.


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
1335E00000XProsthetic/Orthotic SupplierC26267MARYLANDNo
2332B00000XDurable Medical Equipment & Medical Supplies46260CALIFORNIAYes

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
15890840001MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAMEDICARE PROVIDER NUMBER
2DME03442FMEDICAIDCALIFORNIA

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: 11/14/2023

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