Provider Demographics
NPI:1609379536
Name:ASSIST MEDICAL SUPPLIES INC.
Entity Type:Organization
Organization Name:ASSIST MEDICAL SUPPLIES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FITA
Authorized Official - Middle Name:
Authorized Official - Last Name:TULU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:424-227-9800
Mailing Address - Street 1:5250 W CENTURY BLVD STE 207
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-5946
Mailing Address - Country:US
Mailing Address - Phone:424-227-9800
Mailing Address - Fax:888-699-6897
Practice Address - Street 1:5250 W CENTURY BLVD STE 207
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90045-5946
Practice Address - Country:US
Practice Address - Phone:424-227-9800
Practice Address - Fax:888-699-6897
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-16
Last Update Date:2018-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA98715332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies