| Organization Name: | PROMED DME, INC. |
| NPI Number: | 1033118609 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICH V. KING (CEO/PRES) |
| Mailing Address: | 10641 Calle Lee #185 Los Alamitos |
| State: | CA US |
| Postal Code: | 907202567 |
| Phone Number: | 7148167888 |
| Fax Number: | 7148167898 |
| NPI Enumeration Date: | 07/18/2005 |
| NPI Last Update Date: | 07/16/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | 332BX2000X |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |