MEDICARE: BESTCARE & PHARMACY

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	451350	CA

General Provider Information

NPI Number	:	1528479482
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BESTCARE & PHARMACY

Provider Business Mailing Address
First Line	:	5317 BEACH BLVD
Second Line	:
City	:	BUENA PARK
State	:	CA
Zip	:	90621-1231
Country	:	US
Telephone Number	:	714-670-7979
Fax Number	:

Provider Business Practice Location Address
First Line	:	5317 BEACH BLVD
Second Line	:
City	:	BUENA PARK
State	:	CA
Zip	:	90621-1231
Country	:	US
Telephone Number	:	714-670-7979
Fax Number	:

Authorized Official
Title or Position	:	PHARMACIST/OWNER
Name	:	MOON JA HA
Credential	:
Telephone Number	:	714-670-7979

Provider Enumeration Date	:	05/14/2014
Last Update Date	:	05/14/2014

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Directions to “BESTCARE & PHARMACY ” Practice Location

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