Healthcare Provider Details

I. General information

NPI: 1033135983
Provider Name (Legal Business Name): BIOPLUS SPECIALTY INFUSION CA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2006
Last Update Date: 12/16/2024
Certification Date: 12/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19110 VAN NESS AVE
TORRANCE CA
90501-1101
US

IV. Provider business mailing address

19110 VAN NESS AVE
TORRANCE CA
90501-1101
US

V. Phone/Fax

Practice location:
  • Phone: 310-320-6444
  • Fax: 866-794-4844
Mailing address:
  • Phone: 310-320-6444
  • Fax: 866-794-4844

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 TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHY54649
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License NumberPHY54649
License Number StateCA

VIII. Authorized Official

Name: ASHLEY SHEEHAN
Title or Position: CREDENTIALING SPECIALIST
Credential:
Phone: 855-733-3126