Provider Demographics
NPI:1689824740
Name:BIOMATRIX, INC
Entity Type:Organization
Organization Name:BIOMATRIX, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:MR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-464-1902
Mailing Address - Street 1:5332 ZOLA AVE
Mailing Address - Street 2:
Mailing Address - City:PICO RIVERA
Mailing Address - State:CA
Mailing Address - Zip Code:90660-2627
Mailing Address - Country:US
Mailing Address - Phone:310-597-9163
Mailing Address - Fax:800-818-8391
Practice Address - Street 1:5332 ZOLA AVE
Practice Address - Street 2:
Practice Address - City:PICO RIVERA
Practice Address - State:CA
Practice Address - Zip Code:90660-2627
Practice Address - Country:US
Practice Address - Phone:310-597-9163
Practice Address - Fax:800-818-8391
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-25
Last Update Date:2008-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies