Providence Medical Supply LLC
Providence Medical Supply LLC is a Durable Medical Equipment & Medical Supplies in Ontario, California. Registered with an NPI since 2022.
- In the registry since
- 2022
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1125 N Mountain AveOntario, CA 91762-1739
Phone: (909) 443-7115
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 | 1659096410 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Yusif Salia — Managing Director · (213) 379-1424 |
| NPI enumerated | October 4, 2022 |
| Last updated in NPPES | December 25, 2022 |
| Certification date | December 25, 2022 |
| Mailing address | 1125 N Mountain Ave, Ontario, CA 91762-1739 |
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