MEDICARE: CORE MEDIA SOLUTIONS

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	:	1912038134
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CORE MEDIA SOLUTIONS

Provider Business Mailing Address
First Line	:	2221 E WINSTON RD
Second Line	:	SUITE D
City	:	ANAHEIM
State	:	CA
Zip	:	92806-5540
Country	:	US
Telephone Number	:	714-772-1203
Fax Number	:	714-772-1213

Provider Business Practice Location Address
First Line	:	2221 E WINSTON RD
Second Line	:	SUITE D
City	:	ANAHEIM
State	:	CA
Zip	:	92806-5540
Country	:	US
Telephone Number	:	714-772-1203
Fax Number	:	714-772-1213

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. BAPI S MOHANTY
Credential	:
Telephone Number	:	714-772-1203

Provider Enumeration Date	:	03/08/2007
Last Update Date	:	08/08/2008

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Directions to “CORE MEDIA SOLUTIONS ” Practice Location

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