Provider Demographics
NPI:1700294741
Name:BBD ADVANTAGE, INC
Entity Type:Organization
Organization Name:BBD ADVANTAGE, INC
Other - Org Name:DME UNITED
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAMIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CARRILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-230-2474
Mailing Address - Street 1:14540 HAMLIN ST
Mailing Address - Street 2:STE E-3
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91411-1626
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:14540 HAMLIN ST
Practice Address - Street 2:STE E-3
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91411-1626
Practice Address - Country:US
Practice Address - Phone:818-230-2474
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-22
Last Update Date:2014-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies