# IDA MED MEDICAL EQUIPMENT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245224427
- **Authorized official:** MEHDI ABHARI (BUSINESS OWNER)
- **Authorized official phone:** (714) 894-1818

## Contact information

- **Practice address:** 12792 VALLEY VIEW ST, STE C, GARDEN GROVE, CA 92845-2509
- **Practice address phone:** (714) 894-1818
- **Practice address fax:** (714) 894-3121
- **Mailing address:** 12792 VALLEY VIEW ST, STE C, GARDEN GROVE, CA 92845
- **Mailing address phone:** (714) 894-1818
- **Mailing address fax:** (714) 894-3121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 100642 | CA | Yes |

## Other

- **Enumeration date:** 09/02/2005
- **Last updated:** 06/27/2008
