Provider Demographics
NPI:1720645575
Name:ADVANCED MEDICAL EQUIPMENT AND SUPPLIES
Entity Type:Organization
Organization Name:ADVANCED MEDICAL EQUIPMENT AND SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:ALI
Authorized Official - Last Name:ADAIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-248-0637
Mailing Address - Street 1:41695 ELM ST STE 301-302
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-1417
Mailing Address - Country:US
Mailing Address - Phone:714-248-0637
Mailing Address - Fax:888-473-4868
Practice Address - Street 1:41695 ELM ST STE 301-302
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-1417
Practice Address - Country:US
Practice Address - Phone:714-248-0637
Practice Address - Fax:888-473-4868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-28
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies