MEDICARE: CALIMAN MEDICAL SERVICES

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	103649	CA

General Provider Information

NPI Number	:	1346421393
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CALIMAN MEDICAL SERVICES

Provider Business Mailing Address
First Line	:	1402 W VERNON AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90062-1814
Country	:	US
Telephone Number	:	323-298-3724
Fax Number	:	323-293-4835

Provider Business Practice Location Address
First Line	:	1402 W VERNON AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90062-1814
Country	:	US
Telephone Number	:	323-298-3724
Fax Number	:	323-293-4835

Authorized Official
Title or Position	:	OWNER
Name	:	UMOREN EDUOK
Credential	:
Telephone Number	:	323-298-3724

Provider Enumeration Date	:	11/19/2007
Last Update Date	:	11/19/2007

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