# MED-WEST

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

## Provider details

- **NPI number:** 1932322286
- **Authorized official:** MR. ELLIS KYLES (OWNER)
- **Authorized official phone:** (909) 591-2355

## Contact information

- **Practice address:** 5536 PHILADELPHIA ST, SUITE H, CHINO, CA 91710-7533
- **Practice address phone:** (909) 591-2355
- **Mailing address:** 5536 PHILADELPHIA ST, SUITE H, CHINO, CA 91710-7533

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 46177 | CA | Yes |

## Other

- **Enumeration date:** 04/11/2007
- **Last updated:** 06/26/2008