Provider Demographics
NPI:1124000898
Name:APGUARD MEDICAL INC
Entity Type:Organization
Organization Name:APGUARD MEDICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF A/R AND SYSTEMS
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:M
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-713-0202
Mailing Address - Street 1:6404 INDEPENDENCE AVE
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-2607
Mailing Address - Country:US
Mailing Address - Phone:818-713-0202
Mailing Address - Fax:818-713-0879
Practice Address - Street 1:6404 INDEPENDENCE AVE
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-2607
Practice Address - Country:US
Practice Address - Phone:818-713-0202
Practice Address - Fax:818-713-0879
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASR ACC13820236332B00000X
CAPHY43386332BP3500X, 333600000X
CASR AC13820236332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Not Answered332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Not Answered333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADME00946FMedicaid
CA1049620001Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER