Provider Demographics
NPI:1336385152
Name:GUIDING LIGHT MEDICAL SUPPLIES CORP.
Entity Type:Organization
Organization Name:GUIDING LIGHT MEDICAL SUPPLIES CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AHRAR
Authorized Official - Middle Name:S
Authorized Official - Last Name:AHMAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-515-7935
Mailing Address - Street 1:1721 S VINEYARD AVE
Mailing Address - Street 2:SUITE F
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91761-7781
Mailing Address - Country:US
Mailing Address - Phone:951-515-7935
Mailing Address - Fax:
Practice Address - Street 1:1721 S VINEYARD AVE
Practice Address - Street 2:SUITE F
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91761-7781
Practice Address - Country:US
Practice Address - Phone:951-515-7935
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-29
Last Update Date:2008-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies