Provider Demographics
NPI:1730362302
Name:MED SYSTEMS
Entity type:Organization
Organization Name:MED SYSTEMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SALES MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-345-9061
Mailing Address - Street 1:2631 ARIANE DR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92117-3422
Mailing Address - Country:US
Mailing Address - Phone:800-345-9061
Mailing Address - Fax:858-483-9827
Practice Address - Street 1:2631 ARIANE DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92117-3422
Practice Address - Country:US
Practice Address - Phone:800-345-9061
Practice Address - Fax:858-483-9827
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-06
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA63491332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies