Provision Medical Supply
Provision Medical Supply is a Durable Medical Equipment & Medical Supplies in Costa Mesa, California. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
777 W 19th St Ste FCosta Mesa, CA 92627-6131
Phone: (949) 662-3933
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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 | 1770055477 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Patrick Parke — Ceo · (949) 662-3933 |
| NPI enumerated | December 19, 2018 |
| Last updated in NPPES | June 9, 2021 |
| Certification date | June 9, 2021 |
| Mailing address | 777 W 19th St Ste F, Costa Mesa, CA 92627-6131 |
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