MEDICARE: FLOWER 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
1	332B00000X	Durable Medical Equipment & Medical Supplies		CA

General Provider Information

NPI Number	:	1790891398
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLOWER MEDICAL SUPPLIES

Provider Business Mailing Address
First Line	:	4004 S VERMONT AVE
Second Line	:	#1
City	:	LOS ANGELES
State	:	CA
Zip	:	90037
Country	:	US
Telephone Number	:	323-233-7098
Fax Number	:	323-233-1173

Provider Business Practice Location Address
First Line	:	4004 S VERMONT AVE
Second Line	:	#1
City	:	LOS ANGELES
State	:	CA
Zip	:	90037
Country	:	US
Telephone Number	:	323-233-7098
Fax Number	:	323-233-1173

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CHANG HYANG LEE
Credential	:
Telephone Number	:	323-233-7098

Provider Enumeration Date	:	08/23/2006
Last Update Date	:	07/21/2022

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