MEDICARE: SPOTLINK MEDICAL SUPPLY INC

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		CA

General Provider Information

NPI Number	:	1437351012
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPOTLINK MEDICAL SUPPLY INC

Provider Business Mailing Address
First Line	:	1851 W FLORENCE AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90047-2124
Country	:	US
Telephone Number	:	323-759-0653
Fax Number	:	323-759-6124

Provider Business Practice Location Address
First Line	:	1851 W FLORENCE AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90047-2124
Country	:	US
Telephone Number	:	323-759-0653
Fax Number	:	323-759-6124

Authorized Official
Title or Position	:	CEO
Name	:	DORIS E ONUOHAH
Credential	:	RN
Telephone Number	:	323-759-0653

Provider Enumeration Date	:	06/05/2007
Last Update Date	:	01/09/2008

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