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NPI Code Detail

MEDICARE: RECOVERY MEDICAL SERVICES, LLC

MEDICARE: RECOVERY MEDICAL SERVICES, LLC
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
1332B00000XDurable Medical Equipment & Medical Supplies2000180-424NV
2332B00000XDurable Medical Equipment & Medical SuppliesBUS2012-02175CA

General Provider Information

NPI Number : 1366670655
Entity Type Code : Organization
Provider Name (Legal Business Name) : RECOVERY MEDICAL SERVICES, LLC
Provider Business Mailing Address
First Line : 1630 S SINCLAIR ST
Second Line :
City : ANAHEIM
State : CA
Zip : 92806-5927
Country : US
Telephone Number : 657-888-6250
Fax Number : 657-888-6251
Provider Business Practice Location Address
First Line : 1630 S SINCLAIR ST
Second Line :
City : ANAHEIM
State : CA
Zip : 92806-5927
Country : US
Telephone Number : 657-888-6250
Fax Number : 657-888-6251
Authorized Official
Title or Position : PRESIDENT
Name : GLEN CURTIS ALLEN
Credential :
Telephone Number : 714-987-2633
Provider Enumeration Date : 06/25/2009
Last Update Date : 08/18/2016

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Directions to “RECOVERY MEDICAL SERVICES, LLC ” Practice Location

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