Organization · Type 2 NPI
Breakwater Medical LLC
Durable Medical Equipment & Medical Supplies · Venice, CA
NPI number
1710236344
Active
Practice location
720 Milwood Ave
Venice, CA 90291-3829
Fax (714) 647-1245
Mailing address
210 N Tustin Ave
Santa Ana, CA 92705-3807
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies Primary | 332B00000X | None 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.
About NPI 1710236344
Breakwater Medical LLC's National Provider Identifier is 1710236344, issued on Aug 29, 2012. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Venice, CA. The record was last updated on Aug 29, 2012.