Organization · Type 2 NPI

Prohealth Medical Supply Inc

Durable Medical Equipment & Medical Supplies · Los Angeles, CA

NPI number 1104123652 Active

Practice location

4509 Eagle Rock Blvd, Ste B
Los Angeles, CA 90041-3214

Call (323) 255-3504 Map

Fax (323) 255-3504

Mailing address

4625 First St, Suite B
Pleasanton, CA 94566

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies Primary 332B00000X54295 (CA)

Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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About NPI 1104123652

Prohealth Medical Supply Inc's National Provider Identifier is 1104123652, issued on Feb 18, 2011. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 29, 2026.