Provider Demographics
NPI:1548784887
Name:INDUSTRIAL SURPLUS AND SALVAGE, CORP
Entity Type:Organization
Organization Name:INDUSTRIAL SURPLUS AND SALVAGE, CORP
Other - Org Name:MEDWORKS ADVANTAGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-670-7876
Mailing Address - Street 1:14271 ALBERS WAY
Mailing Address - Street 2:
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91710-6941
Mailing Address - Country:US
Mailing Address - Phone:213-670-7876
Mailing Address - Fax:
Practice Address - Street 1:14271 ALBERS WAY
Practice Address - Street 2:
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-6941
Practice Address - Country:US
Practice Address - Phone:213-670-7876
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies