MEDICARE: BIONESS 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	43291	CA
2	332B00000X	Durable Medical Equipment & Medical Supplies	48442	CA
3	335E00000X	Prosthetic/Orthotic Supplier	HMDR#48442	CA
4	332B00000X	Durable Medical Equipment & Medical Supplies	HMDR#48442	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	:	1871516203
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BIONESS INC.

Provider Business Mailing Address
First Line	:	25103 RYE CANYON LOOP
Second Line	:
City	:	VALENCIA
State	:	CA
Zip	:	91355-5004
Country	:	US
Telephone Number	:	661-362-4850
Fax Number	:	661-362-6661

Provider Business Practice Location Address
First Line	:	25103 RYE CANYON LOOP
Second Line	:
City	:	VALENCIA
State	:	CA
Zip	:	91355-5004
Country	:	US
Telephone Number	:	661-362-4850
Fax Number	:	661-362-6661

Authorized Official
Title or Position	:	MANAGER, BILLING & COLLECTIONS
Name	:	SHELLY KIPPER
Credential	:
Telephone Number	:	800-211-9136

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	05/19/2021

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Directions to “BIONESS INC. ” Practice Location

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