Provider Demographics
NPI:1720148026
Name:MARIA H. PIMENTEL
Entity Type:Organization
Organization Name:MARIA H. PIMENTEL
Other - Org Name:AMERIMEX MOBILITY DISTRIBUTORS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:H
Authorized Official - Last Name:PIMENTEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-534-1541
Mailing Address - Street 1:1801 PACIFIC COAST HWY
Mailing Address - Street 2:SUITE A
Mailing Address - City:LOMITA
Mailing Address - State:CA
Mailing Address - Zip Code:90717-2757
Mailing Address - Country:US
Mailing Address - Phone:310-534-1541
Mailing Address - Fax:310-534-4690
Practice Address - Street 1:1801 PACIFIC COAST HWY
Practice Address - Street 2:SUITE A
Practice Address - City:LOMITA
Practice Address - State:CA
Practice Address - Zip Code:90717-2757
Practice Address - Country:US
Practice Address - Phone:310-534-1541
Practice Address - Fax:310-534-4690
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-10
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46432332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5943150001Medicare NSC