Provider Demographics
NPI:1487852059
Name:BIOMED CALIFORNIA, INC.
Entity Type:Organization
Organization Name:BIOMED CALIFORNIA, INC.
Other - Org Name:BIOMED PHARMACEUTICALS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:C
Authorized Official - Last Name:WALK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:833-765-3648
Mailing Address - Street 1:2801 NETWORK BLVD STE 505
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-1895
Mailing Address - Country:US
Mailing Address - Phone:833-765-3648
Mailing Address - Fax:603-718-3824
Practice Address - Street 1:721 S GLASGOW AVE STE C
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90301-3016
Practice Address - Country:US
Practice Address - Phone:310-665-1121
Practice Address - Fax:310-665-1141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-05
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
CAPHY501683336C0003X, 3336H0001X, 3336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA7720240Medicaid
CALSC100683OtherCA STERILE COMPOUND LICENSE
1013134113OtherNPI
CAPHY50168OtherCA BOP LICENSE
CAPHY50168OtherCA BOP LICENSE