Provider Demographics
NPI:1336477751
Name:TOTAL BODY MEDICAL SUPPLIES INC.
Entity Type:Organization
Organization Name:TOTAL BODY MEDICAL SUPPLIES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SULMA
Authorized Official - Middle Name:B
Authorized Official - Last Name:ABREGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-618-2026
Mailing Address - Street 1:707 S STATE COLLEGE BLVD
Mailing Address - Street 2:STE.H
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92831-5120
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:707 S STATE COLLEGE BLVD
Practice Address - Street 2:STE.H
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92831-5120
Practice Address - Country:US
Practice Address - Phone:562-618-2026
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-23
Last Update Date:2009-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies