Provider Demographics
NPI:1437351012
Name:SPOTLINK MEDICAL SUPPLY INC
Entity type:Organization
Organization Name:SPOTLINK MEDICAL SUPPLY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DORIS
Authorized Official - Middle Name:E
Authorized Official - Last Name:ONUOHAH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:323-759-0653
Mailing Address - Street 1:1851 W FLORENCE AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90047-2124
Mailing Address - Country:US
Mailing Address - Phone:323-759-0653
Mailing Address - Fax:323-759-6124
Practice Address - Street 1:1851 W FLORENCE AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90047-2124
Practice Address - Country:US
Practice Address - Phone:323-759-0653
Practice Address - Fax:323-759-6124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-05
Last Update Date:2008-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5528630001Medicare NSC