Provider Demographics
NPI:1417049594
Name:ACTION MEDICAL SUPPLY AND EQUIPMENT INC.
Entity Type:Organization
Organization Name:ACTION MEDICAL SUPPLY AND EQUIPMENT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:W
Authorized Official - Last Name:KARNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-621-5901
Mailing Address - Street 1:4751 HOLT BLVD
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:CA
Mailing Address - Zip Code:91763-4722
Mailing Address - Country:US
Mailing Address - Phone:909-621-5901
Mailing Address - Fax:909-621-0364
Practice Address - Street 1:4751 HOLT BLVD
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:CA
Practice Address - Zip Code:91763-4722
Practice Address - Country:US
Practice Address - Phone:909-621-5901
Practice Address - Fax:909-621-0364
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2008-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA73374332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5839950001Medicare NSC