Provider Demographics
NPI:1700886447
Name:R F MEDICAL INC
Entity Type:Organization
Organization Name:R F MEDICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:IRA
Authorized Official - Last Name:FRUCHTBAUM
Authorized Official - Suffix:
Authorized Official - Credentials:RCP
Authorized Official - Phone:310-452-5052
Mailing Address - Street 1:12335 SANTA MONICA BLVD #242
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-2519
Mailing Address - Country:US
Mailing Address - Phone:310-452-5052
Mailing Address - Fax:310-452-3314
Practice Address - Street 1:1826 14TH ST
Practice Address - Street 2:UNIT 104
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-4606
Practice Address - Country:US
Practice Address - Phone:310-452-5052
Practice Address - Fax:310-452-3314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADME00878FMedicaid
CA0207230001Medicare ID - Type Unspecified