Provider Demographics
NPI:1982772034
Name:PRO-TECH MEDICAL EQUIPMENT INC.
Entity Type:Organization
Organization Name:PRO-TECH MEDICAL EQUIPMENT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:M
Authorized Official - Last Name:D'ANTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-296-6600
Mailing Address - Street 1:42210 ROICK DR
Mailing Address - Street 2:SUITE 12
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92590-5523
Mailing Address - Country:US
Mailing Address - Phone:951-296-6600
Mailing Address - Fax:951-296-6609
Practice Address - Street 1:42210 ROICK DR
Practice Address - Street 2:SUITE 12
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-5523
Practice Address - Country:US
Practice Address - Phone:951-296-6600
Practice Address - Fax:951-296-6609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-30
Last Update Date:2010-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADME00539FMedicaid
CA0420590001Medicare ID - Type Unspecified