<Unavail>
LBN: Bolsa Medical Mtm Pharma Inc
<Unavail> is an health care organization with primary practice located at 6552 Bolsa Ave Ste A , Huntington Beach CA 92647-2656. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Bolsa Medical Mtm Pharma Inc can be contacted via phone (714) 916-5383, or through Quach-Tran, Tina Tuyet via phone (714) 916-5383.
Contact Information
Primary practice address
6552 Bolsa Ave Ste A
Huntington Beach CA 92647-2656
Phone: (714) 916-5383
Fax: (714) 916-5384
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1306372891 |
|---|---|
| LBN Legal business name | Bolsa Medical Mtm Pharma Inc |
| DBA Doing business as | <Unavail> |
| Authorized official | Quach-Tran, Tina Tuyet |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 3rd, 2017 |
| Last updated | Apr 13th, 2022 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306372891 | NPPES |
| California | MEDICAID | 3622641 | |
| California | Other | PHY57954 |
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