Palmer Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

44547 Issued in CA

Legal business name

PALMER MEDICAL SUPPLY

Practice address

3510 W Beverly Blvd
Montebello, CA 90640-1541

Phone

(323) 888-1860

Fax

(323) 888-0050

NPI assigned

Jun 21, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Victoria Ilokugbe Egbase

Title

President

Phone

(323) 888-1860

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1730125683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 W BEVERLY BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906401541",
            "telephone_number": "323-888-1860",
            "fax_number": "323-888-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 W BEVERLY BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906401541",
            "telephone_number": "323-888-1860",
            "fax_number": "323-888-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMER MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "EGBASE",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "ILOKUGBE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-888-1860",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "44547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eloisa Padilla, LCSW
• Jenny Stephanie Padilla
• Stephanie Padilla
• Richard Pak, DDS
• Sofia Palacios, M.D.
• Renee Palmer
• Maria Cecilia Demesa Parana, MSN, RN
• Muzzamil Haroon Parekh, M.D.
• Jagdishchandr Parikh, M.D.
• Elisa Park

• Durable Medical Equipment & Medical Supplies in Montebello, CA
• Providers in Montebello, 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 Mar 26, 2008; 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.