Medical Base Corp

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MEDICAL BASE CORP

Practice address

9519 Rush St Ste B
South El Monte, CA 91733-1556

Phone

(626) 582-1670

Fax

(626) 582-1679

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jack Wu

Title

Ceo

Phone

(626) 582-1670

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366554263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9519 E. RUSH ST. UNIT B",
            "city": "SO. EL MONTE",
            "state": "CA",
            "postal_code": "91733",
            "telephone_number": "626-582-1670",
            "fax_number": "626-582-1679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9519 RUSH ST STE B",
            "city": "SOUTH EL MONTE",
            "state": "CA",
            "postal_code": "917331556",
            "telephone_number": "626-582-1670",
            "fax_number": "626-582-1679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL BASE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-582-1670",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marixa Maldonado
• Cinyand Estefani Man Li, COTA/L
• Lily Martinez Lomeli, LCSW
• Melissa Martinez, BCBA., M.S
• Yesenia Rios Martinez
• Medical Base Pharmacy/DME
• Kimberly Mendez-Cedillos
• Jessica Mendoza
• Arturo David Mercado, PHARMD
• Mobilify, LLC

• Durable Medical Equipment & Medical Supplies in South El Monte, CA
• Providers in South El Monte, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.