Source One Medical INC
NPI #1619972239 in Irvine, California
Provider Information
- NPI Number
- 1619972239
- Entity Type
- Organization
- Organization Name
- Source One Medical INC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies - Customized Equipment
- Enumeration Date
- Jun 20, 2005
- Last Updated
- May 14, 2012
Practice Location
- Address
- 16 TECHNOLOGY DR
- Address 2
- SUITE 165
- City
- Irvine
- State
- California
- ZIP Code
- 92618-2328
- Phone
- (888) 447-9056
Authorized Official
- Name
- DENNIS KLINE
- Title
- PRESIDENT/CEO
- Phone
- (888) 447-9056
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment |
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