Provider Demographics
NPI:1205908241
Name:COMPLIANCE MEDICAL SERVICES LLC
Entity type:Organization
Organization Name:COMPLIANCE MEDICAL SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:LAINE
Authorized Official - Last Name:HUTCHINGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:8005-375-1477
Mailing Address - Street 1:5743 CORSA AVE
Mailing Address - Street 2:SUITE 207
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91362-6464
Mailing Address - Country:US
Mailing Address - Phone:800-537-5177
Mailing Address - Fax:805-577-1339
Practice Address - Street 1:5743 CORSA AVE
Practice Address - Street 2:SUITE 207
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91362-6464
Practice Address - Country:US
Practice Address - Phone:800-537-5177
Practice Address - Fax:805-577-1339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5892180001Medicare UPIN