Provider Demographics
NPI:1194412486
Name:BERZON MEDICAL SUPPLIES INC
Entity type:Organization
Organization Name:BERZON MEDICAL SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DANILO
Authorized Official - Middle Name:
Authorized Official - Last Name:BERROYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-655-6061
Mailing Address - Street 1:701 BREA CANYON RD STE 8
Mailing Address - Street 2:
Mailing Address - City:WALNUT
Mailing Address - State:CA
Mailing Address - Zip Code:91789-3036
Mailing Address - Country:US
Mailing Address - Phone:909-655-6061
Mailing Address - Fax:909-614-8687
Practice Address - Street 1:701 BREA CANYON RD STE 8
Practice Address - Street 2:
Practice Address - City:WALNUT
Practice Address - State:CA
Practice Address - Zip Code:91789-3036
Practice Address - Country:US
Practice Address - Phone:909-655-6061
Practice Address - Fax:909-614-8687
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-18
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies