Organization
ENTERAL PRODUCTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YISROEL RECHNITZ (GENERAL MANAGER)
(562) 447-2550
Entity
Organization
Contact information
Practice address
11333 GREENSTONE AVE, A, SANTA FE SPRINGS, CA 90670-4618
(562) 447-2550
(562) 968-5315
Mailing address
11333 GREENSTONE AVE, A, SANTA FE SPRINGS, CA 90670-4618
(562) 447-2550
(562) 968-5315
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
1166
AL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
16-00392
KS
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
203001226
IL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
47578
CA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
5306003903
MI
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
69000639A
IN
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
CSW.0002888
CT
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
DME.000248
LA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
DME18253
ID
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
F09620
MS
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
HME00304
KY
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
MG01187
AR
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
PHA-WDD-LIC-1796
MT
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
R3457
MD
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
W002244
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982891743
—
AL
05
—
1982891743
—
MT
05
—
1982891743
—
NV
05
—
1982891743
—
UT
05
—
1982891743
—
WA
05
—
1982891743 01
—
CA
05
—
2117548
—
LA
05
—
3095921
—
OH
05
—
535153
—
AZ
Enumeration date
09/26/2007
Last updated
02/04/2015
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