# CORE MEDIA SOLUTIONS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Blue Sparrow Medical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912038134
- **Authorized official:** MR. BAPI S MOHANTY (PRESIDENT)
- **Authorized official phone:** (714) 772-1203

## Contact information

- **Practice address:** 2221 E WINSTON RD, SUITE D, ANAHEIM, CA 92806-5540
- **Practice address phone:** (714) 772-1203
- **Practice address fax:** (714) 772-1213
- **Mailing address:** 2221 E WINSTON RD, SUITE D, ANAHEIM, CA 92806-5540
- **Mailing address phone:** (714) 772-1203
- **Mailing address fax:** (714) 772-1213

## Taxonomy

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

## Other

- **Enumeration date:** 03/08/2007
- **Last updated:** 08/08/2008
