Individual provider · Type 1 NPI
Boonma Phommalayvane
Durable Medical Equipment & Medical Supplies · Rancho Cucamonga, CA
NPI number
1972923332
Active
Practice location
8218 9th St
Rancho Cucamonga, CA 91730-5031
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.
Other durable medical equipment & medical supplies providers in Rancho Cucamonga
About NPI 1972923332
Boonma Phommalayvane's National Provider Identifier is 1972923332, issued on Apr 23, 2014. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Rancho Cucamonga, CA. The record was last updated on Apr 23, 2014.