Healthcare Provider Details

I. General information

NPI: 1801991567
Provider Name (Legal Business Name): PICO MEDICAL RENTS & SELLS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6035 W PICO BLVD
LOS ANGELES CA
90035-2624
US

IV. Provider business mailing address

6035 W PICO BLVD
LOS ANGELES CA
90035-2624
US

V. Phone/Fax

Practice location:
  • Phone: 323-936-4104
  • Fax: 323-936-3454
Mailing address:
  • Phone: 323-936-4104
  • Fax: 323-936-3454

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number1494
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number1494
License Number StateCA

VIII. Authorized Official

Name: MRS. PENNY LYNN RANGEL
Title or Position: PRESIDENT
Credential:
Phone: 323-936-4104