Provider Demographics
NPI:1417198599
Name:ALL PURPOSE MEDICAL, INC.
Entity Type:Organization
Organization Name:ALL PURPOSE MEDICAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:FRUCHTBAUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:1818-264-4394
Mailing Address - Street 1:6520 PLATT AVE
Mailing Address - Street 2:#753
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-3218
Mailing Address - Country:US
Mailing Address - Phone:818-264-4394
Mailing Address - Fax:818-884-4395
Practice Address - Street 1:6055 COUNTY OAK RD
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-1086
Practice Address - Country:US
Practice Address - Phone:818-264-4394
Practice Address - Fax:818-884-4395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-18
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA00010500332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies