Organization Name: | ENROMA MEDICAL SUPPLY |
NPI Number: | 1619167095 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NORMA A REYES (MANAGING DIRECTOR) |
Mailing Address: | 4076 W Century Blvd Inglewood |
State: | CA US |
Postal Code: | 903041622 |
Phone Number: | 3106771377 |
Fax Number: | 3106776607 |
NPI Enumeration Date: | 07/31/2007 |
NPI Last Update Date: | 02/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 46985 |
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 |