Organization
INTERACTIVE MEDICAL SYSTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL REITZ (CEO)
(626) 487-3031
Entity
Organization
Contact information
Practice address
16588 SW 72ND AVE, TIGARD, OR 97224-7755
(888) 877-0209
(888) 877-0212
Mailing address
12882 VALLEY VIEW ST, STE 9, GARDEN GROVE, CA 92845-2519
(714) 894-5029
(310) 227-8229
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
332B00000X
DURABLE MEDICAL EQUIPMENT & MEDICAL SUPPLIES
OR
Enumeration date
01/18/2012
Last updated
01/18/2012
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