Provider Demographics
NPI:1184809170
Name:MOTION MEDICAL
Entity type:Organization
Organization Name:MOTION MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:COLTER
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-341-2800
Mailing Address - Street 1:42335 WASHINGTON ST STE F2
Mailing Address - Street 2:
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92211-8031
Mailing Address - Country:US
Mailing Address - Phone:760-341-2800
Mailing Address - Fax:760-200-4647
Practice Address - Street 1:41678 PETERSFIELD RD
Practice Address - Street 2:
Practice Address - City:BERMUDA DUNES
Practice Address - State:CA
Practice Address - Zip Code:92203-1062
Practice Address - Country:US
Practice Address - Phone:760-341-2800
Practice Address - Fax:760-200-4647
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-08
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies