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Fundamental Medical Supply Inc
Prosthetic/Orthotic Supplier in Reseda, California
NPI 1598068512

Fundamental Medical Supply Inc is a Prosthetic/Orthotic Supplier based in Reseda, CA. Fundamental Medical Supply Inc practices in Reseda, CA. The NPI Number for Fundamental Medical Supply Inc is 1598068512 and holds a License No. (California).

The current practice location address for Fundamental Medical Supply Inc is 7114 Reseda Blvd, Reseda, CA and can be reached out via phone at 805-230-2220 and via fax at 805-230-2229.

Location: 7114 Reseda Blvd, Reseda, CA, 91335-4210
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1598068512
Provider Name
Fundamental Medical Supply Inc
Credential
Provider Entity Type
Organization
Address
7114 Reseda Blvd, Reseda, CA, 91335-4210
Phone Number
805-230-2220
Fax Number
805-230-2229
Provider Enumeration Date
12/14/2010
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1598068512 05 CA
institution
Provider Business Practice Location Address Details
Address
7114 Reseda Blvd
City
Reseda
State
California
Zip
91335-4210
Phone Number
805-230-2220
Fax Number
805-230-2229
person
Provider Business Mailing Address Details
Address
7114 Reseda Blvd
City
Reseda
State
California
Zip
91335-4210
Phone Number
805-230-2220
Fax Number
805-230-2229
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
54837 (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.
54837 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Oxygen Equipment & Supplies
Taxonomy
332BX2000X
License No.
54837 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
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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