Provider Demographics
NPI:1891710711
Name:RAD AND ASSOCIATES INC.
Entity Type:Organization
Organization Name:RAD AND ASSOCIATES INC.
Other - Org Name:R & D MEDICAL EQUIPMENT & SUPPLIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARIAM
Authorized Official - Middle Name:A
Authorized Official - Last Name:SALAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-419-1134
Mailing Address - Street 1:335 W ARBOR VITAE ST
Mailing Address - Street 2:STE.2
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90301-3767
Mailing Address - Country:US
Mailing Address - Phone:310-419-1134
Mailing Address - Fax:310-419-1130
Practice Address - Street 1:335 W ARBOR VITAE ST
Practice Address - Street 2:STE.2
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90301-3767
Practice Address - Country:US
Practice Address - Phone:310-419-1134
Practice Address - Fax:310-419-1130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-13
Last Update Date:2009-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA103762332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1252110001Medicare ID - Type UnspecifiedPROVIDER NUMBER