Champion Medical Supply

LBN: Champion Medical Supply
Champion Medical Supply is an health care organization with primary practice located at 1996 Glentana St , Simi Valley CA 93065-0553. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Champion Medical Supply can be contacted via phone (310) 462-1944, or through Tyler, Jerome Kevin via phone (310) 462-1944.

Contact Information

Primary practice address
1996 Glentana St Simi Valley CA 93065-0553
Phone: (310) 462-1944
Fax: (805) 582-9873
Website:
Map and Directions
Authorized official contact:
Name: Tyler, Jerome Kevin
Phone: (310) 462-1944

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1437336955
LBN Legal business name Champion Medical Supply
DBA Doing business as
Authorized official Tyler, Jerome Kevin
Entity Organization
Organization subpart 1 No
Enumeration date Jan 28th, 2008
Last updated Jan 28th, 2008 - about 16 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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