| Organization Name: | BEACHWOOD MEDICAL SUPPLY, INC |
| NPI Number: | 1083885768 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MAHER KALDAS (CEO/RPH) |
| Mailing Address: | 13851 Garvey Ave Suite B3 Baldwin Park |
| State: | CA US |
| Postal Code: | 917064910 |
| Phone Number: | 6263385300 |
| Fax Number: | 6263385800 |
| NPI Enumeration Date: | 03/20/2008 |
| NPI Last Update Date: | 08/12/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BN1400X |
| License Number: | 49803 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Nursing Facility Supplies |
| Taxonomy Definition: | |