ENTECH MEDICAL CORPORATION
Medical Equipment Supplier Yellow Pages
La Verne, California
Provider NPI: 1255367819
Organization Information:Organization Name: ENTECH MEDICAL CORPORATION
Practice Location:
1910 D ST LA VERNE, CA 91750 US
Tel: 909-596-6785 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1910 D ST LA VERNE, CA 91750 US
Tel: 909-596-6785 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 332BP3500X | Suppliers Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
808842 | AZ | 05 | |
DME00666G | CA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin