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
11105 KNOTT AVE STE A, CYPRESS, CA 90630-5137
(714) 894-5029
(310) 227-8229
Mailing address
11105 KNOTT AVE STE A, CYPRESS, CA 90630-5137
(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
06/08/2026
Update your record
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