Provider Demographics
NPI:1881736148
Name:PROMPT MEDICAL EQUIPMENT
Entity type:Organization
Organization Name:PROMPT MEDICAL EQUIPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-630-2569
Mailing Address - Street 1:7910 ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:PARAMOUNT
Mailing Address - State:CA
Mailing Address - Zip Code:90723-4316
Mailing Address - Country:US
Mailing Address - Phone:562-630-2569
Mailing Address - Fax:562-630-2522
Practice Address - Street 1:7910 ADAMS ST
Practice Address - Street 2:
Practice Address - City:PARAMOUNT
Practice Address - State:CA
Practice Address - Zip Code:90723-4316
Practice Address - Country:US
Practice Address - Phone:562-630-2569
Practice Address - Fax:562-630-2522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2007-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA102981332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADME03277FMedicaid
CA4772750001Medicare ID - Type Unspecified