Organization
PROMED DME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICH V. KING (CEO/PRES)
(714) 816-7888
Entity
Organization
Contact information
Practice address
10641 CALLE LEE, #185, LOS ALAMITOS, CA 90720-2567
(714) 816-7888
(714) 816-7898
Mailing address
10641 CALLE LEE, #185, LOS ALAMITOS, CA 90720-2567
(714) 816-7888
(714) 816-7898
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
332BX2000X
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME02976F
—
CA
Enumeration date
07/18/2005
Last updated
07/16/2007
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