National Provider Identifier Database

ADVANCE MEDICAL SUPPLY
Customized Equipment


Contact Information

ADVANCE MEDICAL SUPPLY
22810 ALESSANDRO BLVD
SUITE A
MORENO VALLEY, CA92553-8549
Phone: 951-653-9710
Fax: 951-653-9719
Website:
Specialty Taxonomy Code
* Customized Equipment 332BC3200X

* Indicates primary specialty

NPI Profile & details for ADVANCE MEDICAL SUPPLY

NPI Number 1295882058
Legal business name
LBN
ADVANCE MEDICAL SUPPLY
Authorized official MARIA MEJIA - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 01/04/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: 17439

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for ADVANCE MEDICAL SUPPLY

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