Provider Demographics
NPI:1407854391
Name:DEPENDABLE MEDICAL EQUIPMENT,INC
Entity Type:Organization
Organization Name:DEPENDABLE MEDICAL EQUIPMENT,INC
Other - Org Name:IRMA EXPRESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:TOKAR
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:818-255-0888
Mailing Address - Street 1:12547 SHERMAN WAY # I
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91605-7101
Mailing Address - Country:US
Mailing Address - Phone:818-255-0888
Mailing Address - Fax:818-255-0882
Practice Address - Street 1:12547 SHERMAN WAY STE I
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91605-7101
Practice Address - Country:US
Practice Address - Phone:818-255-0888
Practice Address - Fax:818-255-0882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-13
Last Update Date:2010-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADME01914F332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0898720001Medicare NSC