Promed DME, Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

332BX2000X Issued in CA

Legal business name

PROMED DME, INC.

Practice address

10641 Calle Lee
#185
Los Alamitos, CA 90720-2567

Phone

(714) 816-7888

Fax

(714) 816-7898

NPI assigned

Jul 18, 2005

Last updated

Jul 16, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Rich V. King

Title

Ceo/Pres

Phone

(714) 816-7888

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1033118609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10641 CALLE LEE",
            "address_2": "#185",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202567",
            "telephone_number": "714-816-7888",
            "fax_number": "714-816-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10641 CALLE LEE",
            "address_2": "#185",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202567",
            "telephone_number": "714-816-7888",
            "fax_number": "714-816-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMED DME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-18",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "RICH",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "CEO/PRES",
        "authorized_official_telephone_number": "714-816-7888",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "CA",
            "license": "332BX2000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME02976F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Oxygen Equipment & Supplies (DME) in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Oxygen Equipment & Supplies (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.