Healthcare Provider Details

I. General information

NPI: 1457685877
Provider Name (Legal Business Name): DEB MED, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2009
Last Update Date: 10/01/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

57725 29 PALMS HWY
YUCCA VALLEY CA
92284-3044
US

IV. Provider business mailing address

900 E SATURNINO RD # 240
PALM SPRINGS CA
92262-7517
US

V. Phone/Fax

Practice location:
  • Phone: 760-413-3947
  • Fax: 760-327-6327
Mailing address:
  • Phone: 760-413-3947
  • Fax: 760-327-6327

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. SURESH MOHNOT
Title or Position: PRESIDENT
Credential:
Phone: 760-413-3947