Organization Name: | PALMER MEDICAL SUPPLY |
NPI Number: | 1730125683 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VICTORIA ILOKUGBE EGBASE (PRESIDENT) |
Mailing Address: | 3510 W Beverly Blvd Montebello |
State: | CA US |
Postal Code: | 906401541 |
Phone Number: | 3238881860 |
Fax Number: | 3238880050 |
NPI Enumeration Date: | 06/21/2006 |
NPI Last Update Date: | 03/26/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 44547 |
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 |