Avasco Medical Supply Inc

LBN: Avasco Medical Supply Inc.
Avasco Medical Supply Inc is an health care organization with primary practice located at 690 East Los Angeles Ave. Suite D, Simi Valley CA 93065-7503. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Oxygen Equipment & Supplies, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Avasco Medical Supply Inc. can be contacted via phone (805) 522-5333, or through Ababseh, Randy via phone (805) 522-5333.

Contact Information

Primary practice address
690 East Los Angeles Ave. Suite D Simi Valley CA 93065-7503
Fax: (805) 522-6333
Website:
Authorized official contact:
Name: Ababseh, Randy

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 396218-03 California
Suppliers / Oxygen Equipment & Supplies 332BX2000X 100631 California
Suppliers / Prosthetic/Orthotic Supplier 335E00000X 396218-03 California

Profile Details

NPI number 1326040502
LBN Legal business name Avasco Medical Supply Inc.
DBA Doing business as Avasco Medical Supply Inc
Authorized official Ababseh, Randy
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2005
Last updated Apr 3rd, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326040502 NPPES
California Other 954360666 BLUE CROSS OF CALIFORNIA
California Other 103377300 BLUE CROSS OF CALIFORNIA
California MEDICAID DME02516F BLUE CROSS OF CALIFORNIA

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