Organization
AIR CARE MEDICAL SUPPLY INC
Active
Other names
Air Care Home Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDY MARK LAZER RRT (PRESIDENT CEO)
(818) 782-3900
Entity
Organization
Contact information
Practice address
6900 CANBY AVE, STE 105, RESEDA, CA 91335-4312
(818) 782-3900
(818) 782-3992
Mailing address
6900 CANBY AVE, STE 105, RESEDA, CA 91335-8730
(818) 782-3900
(818) 782-3992
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
100317
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME01835G
—
CA
Enumeration date
04/20/2006
Last updated
12/05/2014
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