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NPI Code Detail

MEDICARE: BIO-MEDICAL APPLICATIONS OF CALIFORNIA, INC.

MEDICARE: BIO-MEDICAL APPLICATIONS OF CALIFORNIA, 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
1261QE0700XEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center

General Provider Information

NPI Number : 1801098272
Entity Type Code : Organization
Provider Name (Legal Business Name) : BIO-MEDICAL APPLICATIONS OF CALIFORNIA, INC.
Provider Business Mailing Address
First Line : 1422 W 11TH ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90015-1228
Country : US
Telephone Number : 213-784-4568
Fax Number : 213-459-1305
Provider Business Practice Location Address
First Line : 1422 W 11TH ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90015-1228
Country : US
Telephone Number : 213-784-4568
Fax Number : 213-459-1305
Authorized Official
Title or Position : VICE PRESIDENT
Name : BARRY L. BLANTON
Credential :
Telephone Number : 781-699-9000
Provider Enumeration Date : 06/05/2007
Last Update Date : 10/14/2023

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