MEDICARE: COMFORT QUEST, 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	:	1942509732
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMFORT QUEST, INC.

Provider Business Mailing Address
First Line	:	6725 OAK FOREST DR
Second Line	:
City	:	OAK PARK
State	:	CA
Zip	:	91377-3834
Country	:	US
Telephone Number	:	818-665-2012
Fax Number	:	818-706-7605

Provider Business Practice Location Address
First Line	:	5737 KANAN RD
Second Line	:	#327
City	:	AGOURA HILLS
State	:	CA
Zip	:	91301-1601
Country	:	US
Telephone Number	:	818-665-2012
Fax Number	:	818-706-7605

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. BEN KASS
Credential	:
Telephone Number	:	818-665-2012

Provider Enumeration Date	:	03/21/2011
Last Update Date	:	03/21/2011

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