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General NPI Number Information
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NPI Number | 1245292358
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Entity Type | Organization
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Legal Business Name | FCMS CORPORATION
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Dates
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Enumeration Date | 04/04/2006
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Last Update Date | 12/21/2012
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Provider Practice Location Address
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Address Line | 1751 N LOMBARD STREET #C
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City | OXNARD
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State | CA
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Zip | 93030
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Country | US
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Telephone | 805-485-0331
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Fax | 805-988-1367
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Provider Business Mailing Address
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Address Line | 1700 N LOMBARD STREET 3RD FL
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City | OXNARD
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State | CA
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Zip | 93030
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Country | US
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Telephone | 805-485-3277
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Fax | 805-988-1367
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Authorized Official
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Title or Position | CEO
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Name | MRS. ROBERTA TERI WALSKI
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Credential |
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Telephone | 805-604-1211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | 8RYAR99701986
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 8RYAR99701986
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License Number State | CA
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