Provider Demographics
NPI:1700136017
Name:MTS HEALTH SUPPLIES INC
Entity Type:Organization
Organization Name:MTS HEALTH SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GUS
Authorized Official - Middle Name:
Authorized Official - Last Name:SALAYMEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-279-2289
Mailing Address - Street 1:15870 EL PRADO RD STE B
Mailing Address - Street 2:
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91708-9132
Mailing Address - Country:US
Mailing Address - Phone:951-279-2289
Mailing Address - Fax:951-279-9989
Practice Address - Street 1:15870 EL PRADO RD STE B
Practice Address - Street 2:
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91708-9132
Practice Address - Country:US
Practice Address - Phone:951-279-2289
Practice Address - Fax:951-279-9989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-13
Last Update Date:2013-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA49331332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA22568OtherHOME MEDICAL DEVICE EXEMPTEE LICENSE