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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 Specialty Code Provider Type

Customized Equipment

332BC3200X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for ADVANCE MEDICAL SUPPLY

NPI # 1295882058
LBN Legal business name ADVANCE MEDICAL SUPPLY
Authorized official MARIA MEJIA - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/04/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
CA License # 17439
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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