Provider Demographics
NPI:1437306149
Name:DELSONICS MEDICAL SERVICES, INC.
Entity Type:Organization
Organization Name:DELSONICS MEDICAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BROUWERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-892-7404
Mailing Address - Street 1:14600 GOLDENWEST ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-5201
Mailing Address - Country:US
Mailing Address - Phone:714-892-7404
Mailing Address - Fax:714-892-6166
Practice Address - Street 1:14600 GOLDENWEST ST
Practice Address - Street 2:SUITE A202
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-5201
Practice Address - Country:US
Practice Address - Phone:714-892-7404
Practice Address - Fax:714-892-6166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-25
Last Update Date:2008-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies