Source One Medical Inc in Irvine - Customized Equipment
Source One Medical Inc - NPI 1619972239
Source One Medical Inc is a Customized Equipment in Irvine, California. Source One Medical Inc practices all healthcare services and medical treatments related to Customized Equipment. The NPI Number for Source One Medical Inc is 1619972239. The last update date is 2012-05-14.
Source One Medical Inc's current location address is 16 Technology Dr, Irvine, California. You can contact this provider via phone number 8884479056 and fax number 9493876371. The mailing address for Source One Medical Inc is 16 Technology Dr, Irvine, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Source One Medical Inc |
|---|---|
| Address | 16 Technology Dr, Irvine, California |
| Phone Number | 8884479056 |
| Fax Number | 9493876371 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Kline Dennis |
| Telephone Number | 8884479056 |
NPI Number Detail
| NPI Number | 1619972239 |
|---|---|
| Provider Enumeration Date | 2005-06-20 |
| Last Updated Date | 2012-05-14 |
Provider Mailing Address Detail
| Address | 16 Technology Dr |
|---|---|
| City | Irvine |
| State | California (CA) |
| Post Code | 9261823280 |
| Phone Number | 8884479056 |
| Fax Number | 9493876371 |
Provider's Primary Taxonomy Detail
| Speciality | Customized Equipment |
|---|---|
| Taxonomy | 332Bc3200X |
| Licence No | 103616 |
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Definition: Custom-made durable medical equipment prescribed by a provider to meet a patient’s unique needs. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Source One Medical Inc by the Centers for Medicare & Medicaid Services?
The Source One Medical Inc has been issued the NPI (National Provider Identifier) 1619972239 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Source One Medical Inc is physically located?
The Source One Medical Inc is situated at the following address: 16 Technology Dr, Irvine, CA 9261823280.
What is the Source One Medical Inc's specialty and taxonomy code?
The Source One Medical Inc's specialty is Customized Equipment, and the corresponding taxonomy code is 332Bc3200X.
On what date did the Source One Medical Inc receive its 1619972239 assignment from the Centers for Medicare & Medicaid Services?
The Source One Medical Inc was assigned its 1619972239 by the Centers for Medicare & Medicaid Services on 2005-06-20.
As of what date was the information pertaining to Source One Medical Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Source One Medical Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-05-14.