MEDICARE: DYNAMIC MEDICAL SYSTEMS, 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	103253	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548211089
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DYNAMIC MEDICAL SYSTEMS, INC.

Provider Business Mailing Address
First Line	:	2811 E ANA ST
Second Line	:
City	:	COMPTON
State	:	CA
Zip	:	90221-5601
Country	:	US
Telephone Number	:	800-225-9080
Fax Number	:	866-434-3610

Provider Business Practice Location Address
First Line	:	11616 E MONTGOMERY DR
Second Line	:	SUITE 37
City	:	SPOKANE VALLEY
State	:	WA
Zip	:	99206-6607
Country	:	US
Telephone Number	:	800-225-9080
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	CINDY THOMAS
Credential	:
Telephone Number	:	800-225-9080

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	08/19/2011

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