Oberlin Medical Supply & Service Corp

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

WLS 3600 Issued in CA

Legal business name

OBERLIN MEDICAL SUPPLY & SERVICE CORP

Practice address

9883 Pacific Heights Blvd Ste B
San Diego, CA 92121-4709

Phone

(858) 450-6675

Fax

(858) 450-6673

NPI assigned

Dec 6, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Maher D Idriss

Title

President

Phone

(858) 450-6675

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1851574370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9883 PACIFIC HEIGHTS BLVD STE B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214709",
            "telephone_number": "858-450-6675",
            "fax_number": "858-450-6673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9883 PACIFIC HEIGHTS BLVD STE B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214709",
            "telephone_number": "858-450-6675",
            "fax_number": "858-450-6673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBERLIN MEDICAL SUPPLY & SERVICE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "IDRISS",
        "authorized_official_first_name": "MAHER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-450-6675",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "WLS 3600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aline Lim Obdianela
• Emily Ober
• Kathleen Ober, PH.D, FNP
• Kelsey Oberg, PA-C
• Nancy Verdell Oberg, I.M.F
• Rainuka Oberoi, APCC
• Ronald Jay Oberstein, D.C.
• Evan Oberster, OD
• Isaiah Carlos Obeso
• Ivanna Obeso

• Durable Medical Equipment & Medical Supplies in San Diego, CA
• Providers in San Diego, 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 19, 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.