MEDICARE: HELIX MEDICAL SUPPLIES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1205649654
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HELIX MEDICAL SUPPLIES

Provider Business Mailing Address
First Line	:	427 W COLORADO ST STE 102F
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91204-1583
Country	:	US
Telephone Number	:	310-490-6376
Fax Number	:

Provider Business Practice Location Address
First Line	:	427 W COLORADO ST STE 102F
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91204-1583
Country	:	US
Telephone Number	:	310-490-6376
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	JACOB MOHA
Credential	:
Telephone Number	:	310-490-6376

Provider Enumeration Date	:	01/29/2025
Last Update Date	:	01/29/2025

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Directions to “HELIX MEDICAL SUPPLIES ” Practice Location

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