# MEDWEST ORTHOPEDICS INC

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

## Provider details

- **NPI number:** 1699986372
- **Authorized official:** BRENT KRULAC CFO (CEO)
- **Authorized official phone:** (310) 920-9768

## Contact information

- **Practice address:** 811 N CATALINA AVE, SUITE 200, REDONDO BEACH, CA 90277-2133
- **Practice address phone:** (310) 798-1914
- **Practice address fax:** (310) 376-2748
- **Mailing address:** PO BOX 3531, REDONDO BEACH, CA 90277-1531
- **Mailing address phone:** (310) 798-1914
- **Mailing address fax:** (310) 376-2748

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 309960 | CA | Yes |

## Other

- **Enumeration date:** 05/24/2007
- **Last updated:** 08/22/2020