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Avasco Medical Supply Inc.
Prosthetic/Orthotic Supplier in Simi Valley, California
NPI 1326040502

Avasco Medical Supply Inc. is a Prosthetic/Orthotic Supplier based in Simi Valley, CA. Avasco Medical Supply Inc. practices in Simi Valley, CA. The NPI Number for Avasco Medical Supply Inc. is 1326040502 and holds a License No. 396218-03 (California).

The current practice location address for Avasco Medical Supply Inc. is 690 East Los Angeles Ave., Simi Valley, CA and can be reached out via phone at 805-522-5333 and via fax at 805-522-6333.

Location: 690 East Los Angeles Ave., Simi Valley, CA, 93065-7503
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1326040502
Provider Name
Avasco Medical Supply Inc.
Credential
Provider Entity Type
Organization
Address
690 East Los Angeles Ave., Simi Valley, CA, 93065-7503
Phone Number
805-522-5333
Fax Number
805-522-6333
Provider Enumeration Date
06/01/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
954360666 01 CA BLUE CROSS OF CALIFORNIA
103377300 01 CA US DOL OWCP PROVIDER ID
DME02516F 05 CA
institution
Provider Business Practice Location Address Details
Address
690 East Los Angeles Ave.
City
Simi Valley
State
California
Zip
93065-7503
Phone Number
805-522-5333
Fax Number
805-522-6333
person
Provider Business Mailing Address Details
Address
690 East Los Angeles Ave.
City
Simi Valley
State
California
Zip
93065-7503
Phone Number
805-522-5333
Fax Number
805-522-6333
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
396218-03 (California)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Oxygen Equipment & Supplies
Taxonomy
332BX2000X
License No.
100631 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
396218-03 (California)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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