Organization · Type 2 NPI

Providence Medical Supply LLC

Durable Medical Equipment & Medical Supplies · Ontario, CA

NPI number 1659096410 Active

Practice location

1125 N Mountain Ave
Ontario, CA 91762-1739

Call (909) 443-7115 Map

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies Primary 332B00000XNone listed

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 1659096410

Providence Medical Supply LLC's National Provider Identifier is 1659096410, issued on Oct 4, 2022. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Ontario, CA. The record was last updated on Dec 25, 2022.