Organization
MEDICAL SUPPLIES IHP, INC
Active
Other names
Medical Supplies IHP, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID QUIROZ (PRESIDENT)
(805) 517-2995
Entity
Organization
Contact information
Practice address
530 W LOS ANGELES AVE, SUITE 117, MOORPARK, CA 93021-1746
(805) 517-2995
(805) 517-1237
Mailing address
530 W LOS ANGELES AVE, SUITE 117, MOORPARK, CA 93021-1746
(805) 517-2995
(805) 517-1237
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467621615
—
CA
01
—
23019
HMDR EXEMPTEE
CA
01
—
57836
HMDR
CA
Enumeration date
02/21/2008
Last updated
08/14/2013
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