Pioneer Medical Supply Service

LBN: Pioneer Medical Supply Service
Pioneer Medical Supply Service is an health care organization with primary practice located at 8221 S Western Ave , Los Angeles CA 90047-3036. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Pioneer Medical Supply Service can be contacted via phone (323) 778-3815, or through Offor, Ben Agha via phone (323) 778-3815.

Contact Information

Primary practice address
8221 S Western Ave Los Angeles CA 90047-3036
Phone: (323) 778-3815
Fax: (323) 778-3819
Website:
Map and Directions
Authorized official contact:
Name: Offor, Ben Agha
Phone: (323) 778-3815

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 103149 California

Profile Details

NPI number 1740248475
LBN Legal business name Pioneer Medical Supply Service
DBA Doing business as
Authorized official Offor, Ben Agha
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2006
Last updated Nov 13th, 2007 - about 18 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 1740248475 NPPES
California MEDICAID DME03188F

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