Organization
PS MEDICAL SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA NADINE FOX (CEO)
(800) 310-6033
Entity
Organization
Contact information
Practice address
24594 SUNNYMEAD BLVD, SUITE M, MORENO VALLEY, CA 92553
(800) 310-6033
(909) 599-2181
Mailing address
24594 SUNNYMEAD BLVD STE M, MORENO VALLEY, CA 92553-3730
(800) 310-6033
(909) 599-2181
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
96536
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
96536
HMDR LICENSE #
CA
Enumeration date
06/29/2017
Last updated
07/21/2022
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