Provider Demographics
NPI:1821325713
Name:ALKA MEDICAL EQUIPMENT INC
Entity Type:Organization
Organization Name:ALKA MEDICAL EQUIPMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OLEKSANDR
Authorized Official - Middle Name:
Authorized Official - Last Name:IGNATENKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-522-1814
Mailing Address - Street 1:2488 TAPO ST STE 3
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93063-2492
Mailing Address - Country:US
Mailing Address - Phone:805-522-1814
Mailing Address - Fax:805-522-1838
Practice Address - Street 1:2488 TAPO ST STE 3
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93063-2492
Practice Address - Country:US
Practice Address - Phone:805-522-1814
Practice Address - Fax:805-522-1838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-12
Last Update Date:2010-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA6455950001Medicare NSC