Provider Demographics
NPI:1649306614
Name:ALPHA MEDICAL SUPPLIES INC
Entity type:Organization
Organization Name:ALPHA MEDICAL SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAFAT
Authorized Official - Middle Name:I
Authorized Official - Last Name:SAMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-516-2222
Mailing Address - Street 1:1827 E CHAPMAN AVE
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92867-7774
Mailing Address - Country:US
Mailing Address - Phone:714-516-2222
Mailing Address - Fax:714-516-2221
Practice Address - Street 1:1827 E CHAPMAN AVE
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92867-7774
Practice Address - Country:US
Practice Address - Phone:714-516-2222
Practice Address - Fax:714-516-2221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADME03142F332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADME03142FMedicaid
CADME03142FMedicaid