Organization · Type 2 NPI

Provision Medical Supply

Durable Medical Equipment & Medical Supplies · Costa Mesa, CA

NPI number 1770055477 Active

Practice location

777 W 19th St Ste F
Costa Mesa, CA 92627-6131

Call (949) 662-3933 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 1770055477

Provision Medical Supply's National Provider Identifier is 1770055477, issued on Dec 19, 2018. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Costa Mesa, CA. The record was last updated on Jun 9, 2021.