Provider Demographics
NPI:1346689445
Name:CLARITY MEDICAL SUPPLY
Entity Type:Organization
Organization Name:CLARITY MEDICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAM
Authorized Official - Middle Name:N
Authorized Official - Last Name:DOAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-757-2500
Mailing Address - Street 1:8105 E EMERSON PL
Mailing Address - Street 2:
Mailing Address - City:ROSEMEAD
Mailing Address - State:CA
Mailing Address - Zip Code:91770-1933
Mailing Address - Country:US
Mailing Address - Phone:626-757-2500
Mailing Address - Fax:626-280-2931
Practice Address - Street 1:201 W GARVEY AVE
Practice Address - Street 2:SUITE 105
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-7418
Practice Address - Country:US
Practice Address - Phone:626-757-2500
Practice Address - Fax:626-280-2931
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CLARITY MEDICAL SUPPLY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-06-21
Last Update Date:2013-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies