Provider Demographics
NPI:1992022198
Name:CALIFORNIA MEDICAL SUPPLIES AND EQUIPMENT, INC.
Entity Type:Organization
Organization Name:CALIFORNIA MEDICAL SUPPLIES AND EQUIPMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:VERDUGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-324-0264
Mailing Address - Street 1:7143 OAK TREE PL
Mailing Address - Street 2:
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92336-5705
Mailing Address - Country:US
Mailing Address - Phone:661-324-0264
Mailing Address - Fax:800-507-1648
Practice Address - Street 1:1220 OAK ST
Practice Address - Street 2:SUITE G
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93304-1072
Practice Address - Country:US
Practice Address - Phone:661-324-0264
Practice Address - Fax:800-507-1648
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-27
Last Update Date:2010-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53037332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies