Provider Demographics
NPI:1689878233
Name:OSBED MEDICAL SUPPLY, INC.
Entity Type:Organization
Organization Name:OSBED MEDICAL SUPPLY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CAMILLUS
Authorized Official - Middle Name:
Authorized Official - Last Name:EHIGIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-710-8163
Mailing Address - Street 1:22140 VENTURA BLVD STE 4
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-5703
Mailing Address - Country:US
Mailing Address - Phone:818-710-8163
Mailing Address - Fax:818-710-8520
Practice Address - Street 1:22140 VENTURA BLVD STE 4
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-5703
Practice Address - Country:US
Practice Address - Phone:818-710-8163
Practice Address - Fax:818-710-8520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-14
Last Update Date:2007-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5912640001Medicare NSC