Pacific Medical Supply

LBN: Pacific Medical Supply
Pacific Medical Supply is an health care organization with primary practice located at 574 Calhoun St , Corona CA 92879-5846. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Pacific Medical Supply can be contacted via phone (951) 553-0322, or through Ekong, Fidelis Gabriel via phone (951) 552-0322.

Contact Information

Primary practice address
574 Calhoun St Corona CA 92879-5846
Phone: (951) 553-0322
Fax: (951) 279-6004
Website:
Map and Directions
Authorized official contact:
Name: Ekong, Fidelis Gabriel
Phone: (951) 552-0322

Health care specialties

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

Profile Details

NPI number 1376634873
LBN Legal business name Pacific Medical Supply
DBA Doing business as Pacific Medical Supply
Authorized official Ekong, Fidelis Gabriel
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1376634873 NPPES
Texas MEDICAID 162054401/02

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