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Imperial Medical Supply, Inc.
Parenteral & Enteral Nutrition Supplies (DME) in City Of Industry, California
NPI 1417972381

Imperial Medical Supply, Inc. is a Parenteral & Enteral Nutrition Supplies (DME) based in City Of Industry, CA and is specialized in Parenteral & Enteral Nutrition. Imperial Medical Supply, Inc. practices in City Of Industry, CA. The NPI Number for Imperial Medical Supply, Inc. is 1417972381 and holds a License No. 101028 (California).

The current practice location address for Imperial Medical Supply, Inc. is 16666 E Johnson Dr, City Of Industry, CA and can be reached out via phone at 800-700-9565 and via fax at 800-450-3718.

Location: 16666 E Johnson Dr, City Of Industry, CA, 91745-2412
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417972381
Provider Name
Imperial Medical Supply, Inc.
Credential
Provider Entity Type
Organization
Address
16666 E Johnson Dr, City Of Industry, CA, 91745-2412
Phone Number
800-700-9565
Fax Number
800-450-3718
Provider Enumeration Date
07/13/2006
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
DME02353F 01 CA MEDI-CAL PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
16666 E Johnson Dr
City
City Of Industry
State
California
Zip
91745-2412
Phone Number
800-700-9565
Fax Number
800-450-3718
person
Provider Business Mailing Address Details
Address
16666 E Johnson Dr
City
City Of Industry
State
California
Zip
91745-2412
Phone Number
800-700-9565
Fax Number
800-450-3718
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
101028 (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
Customized Equipment
Taxonomy
332BC3200X
License No.
101028 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Nursing Facility Supplies
Taxonomy
332BN1400X
License No.
101028 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
332BP3500X
License No.
101028 (California)
Definition
Definition to come...
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