Provider Demographics
NPI:1023073673
Name:EVERYTHING MEDICAL INC
Entity type:Organization
Organization Name:EVERYTHING MEDICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:G
Authorized Official - Last Name:KEITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-284-2500
Mailing Address - Street 1:200 S PALM AVE
Mailing Address - Street 2:UNIT A
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-3132
Mailing Address - Country:US
Mailing Address - Phone:626-284-2500
Mailing Address - Fax:626-284-2555
Practice Address - Street 1:200 S PALM AVE
Practice Address - Street 2:UNIT A
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-3132
Practice Address - Country:US
Practice Address - Phone:626-284-2500
Practice Address - Fax:626-284-2555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-18
Last Update Date:2009-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA43730332BX2000X, 332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA345862OtherSECURE HORIZONS
CADME03044GMedicaid
CA4264490001OtherPEOPLES BENIFIT LIFE IN
CAPD1555OtherLANTERMAN REGIONAL CENTER
CA253080OtherMDA ASSOC
CAMS0059OtherALTA MED HEALTH SERVICES
CA=========OtherBLUE CROSS OF CA
OH=========-00OtherOHIO BWC
CAMS0059OtherALTA MED HEALTH SERVICES
CA=========OtherTRICARE AUTH NUMBER