Provider Demographics
NPI:1669861498
Name:NATIONWIDE MEDICAL, INC
Entity Type:Organization
Organization Name:NATIONWIDE MEDICAL, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN/MAJORITY OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:SIEGEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-338-3500
Mailing Address - Street 1:29901 AGOURA RD
Mailing Address - Street 2:
Mailing Address - City:AGOURA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91301-2513
Mailing Address - Country:US
Mailing Address - Phone:818-338-3500
Mailing Address - Fax:818-338-3501
Practice Address - Street 1:12403 WETMORE RD
Practice Address - Street 2:SUITE 106
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78247-3615
Practice Address - Country:US
Practice Address - Phone:818-338-3500
Practice Address - Fax:818-338-3501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-16
Last Update Date:2015-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies