Healthcare Provider Details
I. General information
NPI: 1023073673
Provider Name (Legal Business Name): EVERYTHING MEDICAL INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/18/2006
Last Update Date: 04/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
200 S PALM AVE UNIT A
ALHAMBRA CA
91801-3132
US
IV. Provider business mailing address
200 S PALM AVE UNIT A
ALHAMBRA CA
91801-3132
US
V. Phone/Fax
- Phone: 626-284-2500
- Fax: 626-284-2555
- Phone: 626-284-2500
- Fax: 626-284-2555
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332BC3200X |
| Taxonomy | Customized Equipment (DME) |
| License Number | 43730 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BX2000X |
| Taxonomy | Oxygen Equipment & Supplies (DME) |
| License Number | 43730 |
| License Number State | CA |
VIII. Authorized Official
Name: MR.
JONATHAN
G
KEITH
Title or Position: PRESIDENT
Credential:
Phone: 626-284-2500