1st Source Medical Supply, LLC
1st Source Medical Supply, LLC is a Durable Medical Equipment & Medical Supplies in Upland, California. Registered with an NPI since 2016.
- In the registry since
- 2016
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1123 W 9th StUpland, CA 91786-5704
Phone: (951) 350-4020
Fax: (951) 350-4012
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X |
|---|
Record details
| NPI number | 1538610662 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Villard McCoy — Owner · (951) 350-4020 |
| NPI enumerated | October 24, 2016 |
| Last updated in NPPES | October 24, 2016 |
| Mailing address | 1123 W 9th St, Upland, CA 91786-5704 |
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