Healthcare Provider Details

I. General information

NPI: 1073817508
Provider Name (Legal Business Name): GLOBAL DME INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/23/2010
Last Update Date: 12/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4333 ADMIRALTY WAY UNIT 9
MARINA DEL REY CA
90292-5469
US

IV. Provider business mailing address

10921 WILSHIRE BLVD STE 410
LOS ANGELES CA
90024-4001
US

V. Phone/Fax

Practice location:
  • Phone: 310-306-8481
  • Fax: 310-822-2645
Mailing address:
  • Phone: 310-208-6104
  • Fax: 310-208-7745

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: HENRY G CAMPOS
Title or Position: OPERATIONS MANAGER
Credential:
Phone: 310-208-6104