Provider Demographics
NPI:1033668751
Name:QUAL MED, LLC.
Entity Type:Organization
Organization Name:QUAL MED, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DARIN
Authorized Official - Middle Name:
Authorized Official - Last Name:FLASHBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-922-8202
Mailing Address - Street 1:466 W ARROW HWY
Mailing Address - Street 2:SUITE G
Mailing Address - City:SAN DIMAS
Mailing Address - State:CA
Mailing Address - Zip Code:91773-2940
Mailing Address - Country:US
Mailing Address - Phone:866-782-5001
Mailing Address - Fax:888-808-4633
Practice Address - Street 1:466 W ARROW HWY
Practice Address - Street 2:SUITE G
Practice Address - City:SAN DIMAS
Practice Address - State:CA
Practice Address - Zip Code:91773-2940
Practice Address - Country:US
Practice Address - Phone:866-782-5001
Practice Address - Fax:888-808-4633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-22
Last Update Date:2017-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies