Broadway Medical Supply in Los Angeles - Parenteral & Enteral Nutrition

Broadway Medical Supply - NPI 1033381637

Broadway Medical Supply is a Parenteral & Enteral Nutrition in Los Angeles, California. Broadway Medical Supply practices all healthcare services and medical treatments related to Parenteral & Enteral Nutrition. The NPI Number for Broadway Medical Supply is 1033381637. The last update date is 2010-12-15.

Broadway Medical Supply's current location address is Po Box 73571, Los Angeles, California. You can contact this provider via phone number 3237527831. The mailing address for Broadway Medical Supply is Po Box 73571, Los Angeles, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Broadway Medical Supply
Address Po Box 73571, Los Angeles, California
Phone Number 3237527831
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Osioh O Jonathan
Telephone Number 3237527831

NPI Number Detail

NPI Number 1033381637
Provider Enumeration Date 2008-03-24
Last Updated Date 2010-12-15

Provider Mailing Address Detail

Address Po Box 73571
City Los Angeles
State California (CA)
Post Code 900030571
Phone Number 3237527831
Fax Number

Provider's Primary Taxonomy Detail

Speciality Parenteral & Enteral Nutrition
Taxonomy 332Bp3500X
Definition:
Durable medical equipment and supplies for tube feeding and intravenous nutritional support prescribed by providers.

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FAQs about Broadway Medical Supply

What is the unique 10-digit identification code issued to Broadway Medical Supply by the Centers for Medicare & Medicaid Services?

The Broadway Medical Supply has been assigned the NPI (National Provider Identifier) 1033381637 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Broadway Medical Supply is physically located?

The Broadway Medical Supply is physically situated at the following address: Po Box 73571, Los Angeles, CA, 900030571.

What is Broadway Medical Supply's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Broadway Medical Supply's specialized field of practice is Parenteral & Enteral Nutrition, and the corresponding taxonomy code that categorizes this area of specialization is 332Bp3500X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1033381637 to Broadway Medical Supply?

The Centers for Medicare & Medicaid Services originally issued the 1033381637 to Broadway Medical Supply on 2008-03-24.

As of what date were the details related to Broadway Medical Supply most recently updated or revised?

The information pertaining to Broadway Medical Supply, including its address, specialty, and other relevant details, was last updated or revised on 2010-12-15.

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