MEDICARE: KARE MED SUPPLIES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1255582441
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KARE MED SUPPLIES

Provider Business Mailing Address
First Line	:	2011 PREUSS RD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90034-1214
Country	:	US
Telephone Number	:	310-351-6854
Fax Number	:

Provider Business Practice Location Address
First Line	:	2011 PREUSS RD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90034-1214
Country	:	US
Telephone Number	:	310-351-6854
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MISS ACHARIYA KORTHIRAKUL
Credential	:
Telephone Number	:	310-351-6854

Provider Enumeration Date	:	10/06/2008
Last Update Date	:	10/06/2008

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