Evergreen Medical Supply, Inc

LBN: Evergreen Medical Supply, Inc
Evergreen Medical Supply, Inc is an health care organization with primary practice located at 9442 Garden Grove Blvd , Garden Grove CA 92844-1453. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Evergreen Medical Supply, Inc can be contacted via phone (714) 590-1821, or through Chung, Christopher via phone (714) 590-1821.

Contact Information

Primary practice address
9442 Garden Grove Blvd Garden Grove CA 92844-1453
Phone: (714) 590-1821
Fax: (714) 590-1591
Website:
Map and Directions
Authorized official contact:
Name: Chung, Christopher
Phone: (714) 590-1821

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 332B00000X California

Profile Details

NPI number 1467530634
LBN Legal business name Evergreen Medical Supply, Inc
DBA Doing business as
Authorized official Chung, Christopher
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2006
Last updated Aug 22nd, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467530634 NPPES
California MEDICAID DME03020F

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