Provider Demographics
NPI:1891728515
Name:ACTION MEDICAL EQUIPMENT & SUPPLIES INC,
Entity Type:Organization
Organization Name:ACTION MEDICAL EQUIPMENT & SUPPLIES INC,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-497-8067
Mailing Address - Street 1:11801 INGLEWOOD AVE
Mailing Address - Street 2:STE. 3
Mailing Address - City:HAWTHORNE
Mailing Address - State:CA
Mailing Address - Zip Code:90250-2701
Mailing Address - Country:US
Mailing Address - Phone:310-978-9832
Mailing Address - Fax:310-978-9895
Practice Address - Street 1:11801 INGLEWOOD AVE
Practice Address - Street 2:STE. 3
Practice Address - City:HAWTHORNE
Practice Address - State:CA
Practice Address - Zip Code:90250-2701
Practice Address - Country:US
Practice Address - Phone:310-978-9832
Practice Address - Fax:310-978-9895
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2011-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA45654OtherHMDR LICENSE
CA5748190001Medicare NSC