Healthcare Provider Details
I. General information
NPI: 1538021688
Provider Name (Legal Business Name): COVER MY SUPPLY INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/26/2025
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
12614 SOLSBERRY WAY
RANCHO CORDOVA CA
95742-7822
US
IV. Provider business mailing address
12614 SOLSBERRY WAY
RANCHO CORDOVA CA
95742-7822
US
V. Phone/Fax
- Phone: 657-325-8774
- Fax:
- Phone: 657-325-8774
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 335E00000X |
| Taxonomy | Prosthetic/Orthotic Supplier |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
KHALID
MAHMOOD
Title or Position: OWNER
Credential:
Phone: 657-325-8774