Organization · Type 2 NPI
Mountain Lakes Medical Supply Inc
Durable Medical Equipment & Medical Supplies · Big Bear City, CA
Practice location
226 E. Fairway Blvd
Big Bear City, CA 92314-9050
Fax (909) 585-3646
Mailing address
PO Box 1679
Big Bear City, CA 92314-9050
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies Primary | 332B00000X | 102727 (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.
About NPI 1639250046
Mountain Lakes Medical Supply Inc's National Provider Identifier is 1639250046, issued on Oct 18, 2006. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Big Bear City, CA. The record was last updated on Jul 18, 2008.