Organization Name: | TESLA SUPPLY COMPANY |
NPI Number: | 1194956821 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSEPHINE VILLA (MANAGER/OWNER) |
Mailing Address: | 15923 Bear Valley Rd D 270 Hesperia |
State: | CA US |
Postal Code: | 92345 |
Phone Number: | 8662383206 |
Fax Number: | 8662323835 |
NPI Enumeration Date: | 07/29/2009 |
NPI Last Update Date: | 10/04/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | ========= |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |