Provider Demographics
NPI:1184796385
Name:CARING MEDICAL SUPPLY
Entity type:Organization
Organization Name:CARING MEDICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:OGUNLEYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-882-3500
Mailing Address - Street 1:218 E HIGHLAND AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92404-3705
Mailing Address - Country:US
Mailing Address - Phone:909-882-3500
Mailing Address - Fax:909-882-3533
Practice Address - Street 1:218 E HIGHLAND AVE
Practice Address - Street 2:SUITE A
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92404-3705
Practice Address - Country:US
Practice Address - Phone:909-882-3500
Practice Address - Fax:909-882-3533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA5525680001332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5525680001Medicare ID - Type UnspecifiedPROVIDER NUMBER