Organization
BRISBEN MED, INC.
Active
Parent organization
PRIME HOLDINGS INTL, INC.
Other names
Axis Medical Technologies, Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRIME HOLDINGS INTL, INC.
Authorized official
MRS. FLOR ORELLANA (CEO/PRESIDENT)
(800) 239-2947
Entity
Organization
Contact information
Practice address
530 COMMERCE AVE, STE. E, PALMDALE, CA 93551-3881
(800) 239-2947
Mailing address
PO BOX 990, SANTA CLARITA, CA 91380-9090
(800) 239-2947
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
76085
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
76085
CALIFORNIA HOME MEDICAL DEVICE RETAIL LICENSE
CA
Enumeration date
07/22/2015
Last updated
07/01/2016
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