Provider Demographics
NPI:1780906826
Name:99 MEDICAL EQUIPMENT, HEALTHCARE SUPPLIES & WHEELCHAIR CENTER
Entity type:Organization
Organization Name:99 MEDICAL EQUIPMENT, HEALTHCARE SUPPLIES & WHEELCHAIR CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:S
Authorized Official - Last Name:LAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-282-0288
Mailing Address - Street 1:568 W GARVEY AVE
Mailing Address - Street 2:
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-2704
Mailing Address - Country:US
Mailing Address - Phone:626-999-4514
Mailing Address - Fax:626-940-5694
Practice Address - Street 1:568 W GARVEY AVE
Practice Address - Street 2:
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-2704
Practice Address - Country:US
Practice Address - Phone:626-999-4514
Practice Address - Fax:626-940-5694
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-17
Last Update Date:2025-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA6612380001Medicare PIN