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Mountain Lakes Medical Supply Inc
Durable Medical Equipment & Medical Supplies in Big Bear City, California
NPI 1639250046

Mountain Lakes Medical Supply Inc is a Durable Medical Equipment & Medical Supplies based in Big Bear City, CA. Mountain Lakes Medical Supply Inc practices in Big Bear City, CA. The NPI Number for Mountain Lakes Medical Supply Inc is 1639250046 and holds a License No. 102727 (California).

The current practice location address for Mountain Lakes Medical Supply Inc is 226 E. Fairway Blvd, Big Bear City, CA and can be reached out via phone at 909-585-1339 and via fax at 909-585-3646.

Location: 226 E. Fairway Blvd, Big Bear City, CA, 92314-9050
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639250046
Provider Name
Mountain Lakes Medical Supply Inc
Credential
Provider Entity Type
Organization
Address
226 E. Fairway Blvd, Big Bear City, CA, 92314-9050
Phone Number
909-585-1339
Fax Number
909-585-3646
Provider Enumeration Date
10/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D08601548 01 CA SUBMITTER ID
DME01937F 05 CA
institution
Provider Business Practice Location Address Details
Address
226 E. Fairway Blvd
City
Big Bear City
State
California
Zip
92314-9050
Phone Number
909-585-1339
Fax Number
909-585-3646
person
Provider Business Mailing Address Details
Address
226 E. Fairway Blvd
City
Big Bear City
State
California
Zip
92314-9050
Phone Number
909-585-1339
Fax Number
909-585-3646
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
102727 (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.
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