| Organization Name: | MEDICAL SUPPLIES IHP |
| NPI Number: | 1154755148 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID QUIROZ (OWNER) |
| Mailing Address: | 530 New Los Angeles Ave Ste 117 Moorpark |
| State: | CA US |
| Postal Code: | 930212081 |
| Phone Number: | 8055172995 |
| Fax Number: | 8055171237 |
| NPI Enumeration Date: | 08/26/2013 |
| NPI Last Update Date: | 08/26/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BP3500X |
| License Number: | 57836 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Parenteral & Enteral Nutrition |
| Taxonomy Definition: | |