Organization
INTERACTIVE MEDICAL SYSTEMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYNETTE POWELL (MANAGER)
(714) 894-5029
Entity
Organization
Contact information
Practice address
12882 VALLEY VIEW ST, SUITE 8, GARDEN GROVE, CA 92845-2519
(714) 894-5029
(310) 227-8229
Mailing address
12882 VALLEY VIEW ST, SUITE 8, GARDEN GROVE, CA 92845-2519
(714) 894-5029
(310) 227-8229
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053412049
MEDI-CAL
CA
05
—
1841381175
—
WA
Enumeration date
09/25/2006
Last updated
11/07/2014
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