Rialto Medical Supplies, Inc.
Organization Active NPI Oxygen Equipment & Supplies (DME) · Rimforest, CA
NPI 1356359673 · NPPES record last updated Jun 27, 2012
Key facts
- NPI
- 1356359673
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Oxygen Equipment & Supplies (DME) 332BX2000X
- License
- 101217 (CA)
- Legal business name
- RIALTO MEDICAL SUPPLIES, INC.
- Practice address
- 26598 Pine Ave.
Rimforest, CA 92378 - Phone
- (909) 744-8067
- NPI assigned
- Aug 3, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Thomas Alan Cooper
- Title
- President
- Phone
- (909) 744-8067
National Provider Directory
Locations
26598 Pne Ave
Rimforest, CA 92378
Phone (909) 744-8067
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 101217 | CA | Yes |
Addresses
Primary practice location
26598 Pine Ave.
Rimforest, CA 92378
Mailing address
PO Box 583
Lake Arrowhead, CA 92352-0583
Phone (909) 744-8067
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ77264Z | Medicaid | CA |
Other providers in Rimforest, CA
- Maria Cristina Barrios Villa
- C. Spencer Beeman
- Sandra Thomspon Chetelat
- Alexandria Lorraine Derry
- Registered Physical Therapy Providers, Inc.
- Della Rose Utt
All providers in Rimforest, CA · Oxygen Equipment & Supplies (DME) in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.