Provider Demographics
NPI:1639353626
Name:BEST MEDICAL SUPPLY INC
Entity Type:Organization
Organization Name:BEST MEDICAL SUPPLY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:OLUMIDE
Authorized Official - Middle Name:
Authorized Official - Last Name:OKUNIYI OKUSANYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-885-2378
Mailing Address - Street 1:560 N ARROWHEAD AVE
Mailing Address - Street 2:SUITE 4B
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92401-1214
Mailing Address - Country:US
Mailing Address - Phone:909-885-2378
Mailing Address - Fax:909-888-2777
Practice Address - Street 1:560 N ARROWHEAD AVE
Practice Address - Street 2:SUITE 4B
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92401-1214
Practice Address - Country:US
Practice Address - Phone:909-885-2378
Practice Address - Fax:909-888-2777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-26
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA48145332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA6104480001Medicare NSC