Healthcare Provider Details

I. General information

NPI: 1386448603
Provider Name (Legal Business Name): ALLEVIATE PAIN DME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2025
Last Update Date: 04/03/2025
Certification Date: 04/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 WILSHIRE BLVD STE 900-1230
LOS ANGELES CA
90017-2928
US

IV. Provider business mailing address

611 WILSHIRE BLVD STE 900 PMB 1230
LOS ANGELES CA
90017
US

V. Phone/Fax

Practice location:
  • Phone: 347-279-9014
  • Fax:
Mailing address:
  • Phone: 347-279-9014
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code333300000X
TaxonomyEmergency Response System Companies
License Number
License Number State

VIII. Authorized Official

Name: ASIM IQBAL
Title or Position: FOUNDER
Credential:
Phone: 213-330-9384