Healthcare Provider Details

I. General information

NPI: 1114352465
Provider Name (Legal Business Name): BUMPS AND PUMPS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2013
Last Update Date: 09/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7854 CALLE OLIVA
CARLSBAD CA
92009-2906
US

IV. Provider business mailing address

7854 CALLE OLIVA
CARLSBAD CA
92009-2906
US

V. Phone/Fax

Practice location:
  • Phone: 619-857-1665
  • Fax:
Mailing address:
  • Phone: 619-857-1665
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MRS. WENDY COLSON
Title or Position: CEO
Credential: RN, IBCLC
Phone: 619-857-1665