Organization
ESV MEDSUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC BERRY (PRESIDENT)
(909) 331-2235
Entity
Organization
Contact information
Practice address
8990 GARFIELD ST, RIVERSIDE, CA 92503-3922
(909) 331-2235
(909) 331-2235
Mailing address
8990 GARFIELD ST, RIVERSIDE, CA 92503-3922
(909) 331-2235
(909) 331-2235
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
99705
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
99705
HMDR
CA
Enumeration date
05/18/2009
Last updated
05/18/2009
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