Healthcare Provider Details

I. General information

NPI: 1962722322
Provider Name (Legal Business Name): REMEDY MEDICAL SUPPLY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2010
Last Update Date: 06/26/2024
Certification Date: 11/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3717 E THOUSAND OAKS BLVD STE 212
WESTLAKE VILLAGE CA
91362-3607
US

IV. Provider business mailing address

3717 E THOUSAND OAKS BLVD STE 212
WESTLAKE VILLAGE CA
91362-3607
US

V. Phone/Fax

Practice location:
  • Phone: 805-456-4800
  • Fax: 805-435-0432
Mailing address:
  • Phone: 805-456-4800
  • Fax: 805-435-0432

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: DARREN RUTH
Title or Position: PRESIDENT
Credential:
Phone: 805-456-4800