MEDICARE: BIONESS MEDICAL, 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

General Provider Information

NPI Number	:	1558185843
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BIONESS MEDICAL, INC.

Provider Business Mailing Address
First Line	:	25103 RYE CANYON LOOP
Second Line	:
City	:	VALENCIA
State	:	CA
Zip	:	91355-5004
Country	:	US
Telephone Number	:	800-211-9136
Fax Number	:

Provider Business Practice Location Address
First Line	:	25103 RYE CANYON LOOP
Second Line	:
City	:	VALENCIA
State	:	CA
Zip	:	91355-5004
Country	:	US
Telephone Number	:	800-211-9136
Fax Number	:

Authorized Official
Title or Position	:	VP FINANCE AND OPPERATIONS
Name	:	MICHAEL LOPEZ
Credential	:
Telephone Number	:	661-425-8342

Provider Enumeration Date	:	11/13/2024
Last Update Date	:	04/25/2025

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Directions to “BIONESS MEDICAL, INC. ” Practice Location

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