Individual provider · Type 1 NPI

Praseuth Souvannavong

Durable Medical Equipment & Medical Supplies · Santa Ana, CA

NPI number 1982928412 Active

Practice location

2740 S Bristol St, 218
Santa Ana, CA 92704-6209

Call (714) 754-8200 Map

Fax (714) 754-8201

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 1982928412

Praseuth Souvannavong's National Provider Identifier is 1982928412, issued on Mar 26, 2010. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Santa Ana, CA. The record was last updated on Nov 30, 2010.