Organization
CTR MEDICAL ENTERPRISES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAROLD CLIFTON ROSS (OWNER)
(714) 826-7890
Entity
Organization
Contact information
Practice address
3898 CERRITOS AVE, LOS ALAMITOS, CA 90720-2420
(714) 826-7890
(714) 826-7839
Mailing address
3898 CERRITOS AVE, LOS ALAMITOS, CA 90720-2420
(714) 826-7890
(714) 826-7839
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
54666
CA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
54666
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54666
MEDICAL DEVICE LICENSE
CA
Enumeration date
10/02/2006
Last updated
10/04/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up