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NPI Code Detail

MEDICARE: CAMERON MEDICAL SUPPLIES

MEDICARE: CAMERON MEDICAL 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
1332BC3200XCustomized Equipment (DME)CA

General Provider Information

NPI Number : 1669686002
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAMERON MEDICAL SUPPLIES
Provider Business Mailing Address
First Line : 3002 SANTA MONICA BLVD
Second Line :
City : SANTA MONICA
State : CA
Zip : 90404-2506
Country : US
Telephone Number : 310-586-7474
Fax Number : 310-586-1032
Provider Business Practice Location Address
First Line : 3002 SANTA MONICA BLVD
Second Line :
City : SANTA MONICA
State : CA
Zip : 90404-2506
Country : US
Telephone Number : 310-586-7474
Fax Number : 310-586-1032
Authorized Official
Title or Position : PRESIDENT
Name : MR. CAMERON DEAN MIDKIFF
Credential :
Telephone Number : 310-586-7474
Provider Enumeration Date : 05/09/2007
Last Update Date : 07/22/2008

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Directions to “CAMERON MEDICAL SUPPLIES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.