Provider Demographics
NPI:1649495375
Name:TRUE CARE MEDICAL SUPPLY INC
Entity type:Organization
Organization Name:TRUE CARE MEDICAL SUPPLY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESEDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SERGEY
Authorized Official - Middle Name:
Authorized Official - Last Name:MOISEEV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-284-0223
Mailing Address - Street 1:523 S ATLANTIC BLVD STE A
Mailing Address - Street 2:A
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-3865
Mailing Address - Country:US
Mailing Address - Phone:626-284-0223
Mailing Address - Fax:626-284-0243
Practice Address - Street 1:523 SOUTH ATLANTIC BL
Practice Address - Street 2:A
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-3865
Practice Address - Country:US
Practice Address - Phone:626-284-0223
Practice Address - Fax:626-284-0243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2009-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32484332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5982530001Medicare NSC