MEDICARE: REMEDY MEDICAL SUPPLY 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	335E00000X	Prosthetic/Orthotic Supplier
2	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1962722322
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REMEDY MEDICAL SUPPLY INC

Provider Business Mailing Address
First Line	:	3717 E THOUSAND OAKS BLVD
Second Line	:	STE 212
City	:	WESTLAKE VILLAGE
State	:	CA
Zip	:	91362-3607
Country	:	US
Telephone Number	:	805-456-4800
Fax Number	:	805-435-0432

Provider Business Practice Location Address
First Line	:	3717 E THOUSAND OAKS BLVD
Second Line	:	STE 212
City	:	WESTLAKE VILLAGE
State	:	CA
Zip	:	91362-3607
Country	:	US
Telephone Number	:	805-456-4800
Fax Number	:	805-435-0432

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DARREN RUTH
Credential	:
Telephone Number	:	805-456-4800

Provider Enumeration Date	:	06/09/2010
Last Update Date	:	06/26/2024

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