Healthcare Provider Details

I. General information

NPI: 1083885768
Provider Name (Legal Business Name): BEACHWOOD MEDICAL SUPPLY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2008
Last Update Date: 02/24/2026
Certification Date: 02/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5027 HEINTZ ST STE A-C
BALDWIN PARK CA
91706-1817
US

IV. Provider business mailing address

5027 HEINTZ ST STE A-C
BALDWIN PARK CA
91706-1817
US

V. Phone/Fax

Practice location:
  • Phone: 626-338-5300
  • Fax: 626-338-5800
Mailing address:
  • Phone: 626-338-5300
  • Fax: 626-338-5800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number49803
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberMP00845
License Number StateNV
# 3
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number49803
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License NumberMP00845
License Number StateNV
# 5
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number49803
License Number StateCA
# 6
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License NumberMP00845
License Number StateNV
# 7
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number49803
License Number StateCA
# 8
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License NumberMP00845
License Number StateNV
# 9
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number49803
License Number StateCA
# 10
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License NumberMP00845
License Number StateNV

VIII. Authorized Official

Name: ALBERT SOLIMAN
Title or Position: CEO
Credential: PHARMACIST
Phone: 626-625-7363