Provider Demographics
NPI:1356339683
Name:CDBEST MEDICAL EQUIPMENT & SUPPLY INC.
Entity type:Organization
Organization Name:CDBEST MEDICAL EQUIPMENT & SUPPLY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CYPRIAN
Authorized Official - Middle Name:O
Authorized Official - Last Name:ADOH
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:310-337-0053
Mailing Address - Street 1:8921 S SEPULVEDA BLVD
Mailing Address - Street 2:STE 113
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-3640
Mailing Address - Country:US
Mailing Address - Phone:310-337-0053
Mailing Address - Fax:310-337-0056
Practice Address - Street 1:8921 S SEPULVEDA BLVD
Practice Address - Street 2:SUITE 113
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90045-3640
Practice Address - Country:US
Practice Address - Phone:310-337-0053
Practice Address - Fax:310-337-0056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-11
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA103651332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5142880001Medicare NSC