Organization
HIGH DESERT MEDICAL & SLEEP SUPPLIES, INC.
Active
Other names
High Desert Medical & Sleep Supplies, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK J COSTA (CEO)
(559) 412-2793
Entity
Organization
Contact information
Practice address
360 W BEDFORD AVE STE 111, FRESNO, CA 93711-6889
(559) 412-2793
Mailing address
360 W BEDFORD AVE STE 111, FRESNO, CA 93711-6889
(559) 412-2793
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1195937
MEDI-CAL SUPPLIER
CA
01
—
5960340001
MEDICARE NSC
CA
Enumeration date
12/15/2021
Last updated
12/16/2021
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