Provider Demographics
NPI:1598157083
Name:CHAIN MEDICAL
Entity Type:Organization
Organization Name:CHAIN MEDICAL
Other - Org Name:PER CHAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PER
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-918-5438
Mailing Address - Street 1:PO BOX 39
Mailing Address - Street 2:
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90277-0039
Mailing Address - Country:US
Mailing Address - Phone:310-918-5438
Mailing Address - Fax:
Practice Address - Street 1:2308 VIA RIVERA
Practice Address - Street 2:
Practice Address - City:PALOS VERDES ESTATES
Practice Address - State:CA
Practice Address - Zip Code:90274-2726
Practice Address - Country:US
Practice Address - Phone:310-918-5438
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-20
Last Update Date:2015-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies