Organization
METRO-MED, INC. - LOS ALAMITOS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES YAEGER (PRESIDENT)
(818) 840-9090
Entity
Organization
Contact information
Practice address
10841 NOEL ST, STE. 108, 103, LOS ALAMITOS, CA 90720-2597
(714) 761-9761
(714) 761-8455
Mailing address
8999 GEMINI PKWY STE 220, COLUMBUS, OH 43240-2250
(614) 573-9075
(614) 568-5290
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
100347
CA
332BX2000X
Oxygen Equipment & Supplies (DME)
100347
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME03175F
—
CA
01
—
ZZZ133182
BLUE SHIELD PROVIDER #
CA
Enumeration date
09/20/2006
Last updated
09/15/2020
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