Brian Adltabatabaie

Individual provider Active NPI Durable Medical Equipment & Medical Supplies · Irvine, CA

NPI 1851743348 · NPPES record last updated Jul 7, 2016

Key facts

NPI
1851743348
Entity type
Individual (NPI type 1)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Practice address
5319 University Dr
219
Irvine, CA 92612-2965
Phone
(877) 200-6705
NPI assigned
Jul 7, 2016
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

5319 University Dr
219
Irvine, CA 92612-2965

Mailing address

5319 University Dr
219
Irvine, CA 92612-2965
Phone (877) 200-6705

Other providers in Irvine, CA

All providers in Irvine, CA · Durable Medical Equipment & Medical Supplies in California

Sources for this page

Verify at the official NPI Registry.