Healthcare Provider Details

I. General information

NPI: 1922428598
Provider Name (Legal Business Name): NATIONAL ARP MEDICAL SUPPIES & EQUPIMENT SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2014
Last Update Date: 04/22/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4417 MISSION AVE APT H201
OCEANSIDE CA
92057-6771
US

IV. Provider business mailing address

4417 MISSION AVE APT H201
OCEANSIDE CA
92057-6771
US

V. Phone/Fax

Practice location:
  • Phone: 760-518-5684
  • Fax:
Mailing address:
  • Phone: 760-518-5684
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number102535632
License Number StateCA

VIII. Authorized Official

Name: MRS. DARLENE SMITH
Title or Position: OWNER
Credential:
Phone: 760-518-5684