Provider Demographics
NPI:1760670194
Name:I KNOW MEDICAL INC.
Entity Type:Organization
Organization Name:I KNOW MEDICAL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:DANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-498-3400
Mailing Address - Street 1:2725 E PACIFIC COAST HWY
Mailing Address - Street 2:STE 202
Mailing Address - City:SIGNAL HILL
Mailing Address - State:CA
Mailing Address - Zip Code:90755-1593
Mailing Address - Country:US
Mailing Address - Phone:562-498-3400
Mailing Address - Fax:562-498-3434
Practice Address - Street 1:2725 E PACIFIC COAST HWY
Practice Address - Street 2:STE 202
Practice Address - City:SIGNAL HILL
Practice Address - State:CA
Practice Address - Zip Code:90755-1593
Practice Address - Country:US
Practice Address - Phone:562-498-3400
Practice Address - Fax:562-498-3434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-10
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA5486430001332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5486430001Medicare NSC