# IDAMED INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** AT HOME MEDICAL EQUIPMENT & SUPPLIES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255668786
- **Authorized official:** MR. GARY KRANTZ (PRESIDENT)
- **Authorized official phone:** (714) 556-4663

## Contact information

- **Practice address:** 17660 NEWHOPE ST, SUITE F, FOUNTAIN VALLEY, CA 92708-4296
- **Practice address phone:** (714) 556-4663
- **Practice address fax:** (714) 556-4664
- **Mailing address:** 17660 NEWHOPE ST, SUITE F, FOUNTAIN VALLEY, CA 92708-4296
- **Mailing address phone:** (714) 556-4663
- **Mailing address fax:** (714) 556-4664

## Taxonomy

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

## Other

- **Enumeration date:** 11/04/2009
- **Last updated:** 06/09/2014