Provider Demographics
NPI:1750974101
Name:PRECISION MEDICAL SUPPLY, LLC
Entity type:Organization
Organization Name:PRECISION MEDICAL SUPPLY, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:BARBIERI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-346-4085
Mailing Address - Street 1:6060 W MANCHESTER AVE STE 310
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-4267
Mailing Address - Country:US
Mailing Address - Phone:424-300-0025
Mailing Address - Fax:424-224-5672
Practice Address - Street 1:6060 W MANCHESTER AVE STE 310
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90045-4267
Practice Address - Country:US
Practice Address - Phone:424-300-0025
Practice Address - Fax:424-224-5672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-17
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies