Healthcare Provider Details

I. General information

NPI: 1992752653
Provider Name (Legal Business Name): FIRST CARE MEDICAL SUPPLY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7907 MELROSE AVE
LOS ANGELES CA
90046-7109
US

IV. Provider business mailing address

7907 MELROSE AVE
LOS ANGELES CA
90046-7109
US

V. Phone/Fax

Practice location:
  • Phone: 323-653-3837
  • Fax: 323-653-3836
Mailing address:
  • Phone: 323-653-3837
  • Fax: 323-653-3836

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: IRINA BAWER
Title or Position: MANAGER
Credential:
Phone: 323-653-3837