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Bethany Medical Supply Inc.
Parenteral & Enteral Nutrition Supplies (DME) in La Puente, California
NPI 1477581544

Bethany Medical Supply Inc. is a Parenteral & Enteral Nutrition Supplies (DME) based in La Puente, CA and is specialized in Parenteral & Enteral Nutrition. Bethany Medical Supply Inc. practices in La Puente, CA. The NPI Number for Bethany Medical Supply Inc. is 1477581544 and holds a License No. 332B00000X (California).

The current practice location address for Bethany Medical Supply Inc. is 525 N Azusa Ave Ste 111, La Puente, CA and can be reached out via phone at 626-961-8699 and via fax at 626-961-8806.

Location: 525 N Azusa Ave Ste 111, La Puente, CA, 91744-4261
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477581544
Provider Name
Bethany Medical Supply Inc.
Credential
Provider Entity Type
Organization
Address
525 N Azusa Ave Ste 111, La Puente, CA, 91744-4261
Phone Number
626-961-8699
Fax Number
626-961-8806
Provider Enumeration Date
06/29/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0199939 05 CA
DME03250F 01 CA CROSS OVER MEDICAL
institution
Provider Business Practice Location Address Details
Address
525 N Azusa Ave Ste 111
City
La Puente
State
California
Zip
91744-4261
Phone Number
626-961-8699
Fax Number
626-961-8806
person
Provider Business Mailing Address Details
Address
525 N Azusa Ave Ste 111
City
La Puente
State
California
Zip
91744-4261
Phone Number
626-961-8699
Fax Number
626-961-8806
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
103509 (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
Parenteral & Enteral Nutrition
Taxonomy
332BP3500X
License No.
332B00000X (California)
Definition
Definition to come...
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