Provider Demographics
NPI:1215625231
Name:MEDICAL ELECTRONIC SYSTEMS
Entity type:Organization
Organization Name:MEDICAL ELECTRONIC SYSTEMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:CARVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-670-9066
Mailing Address - Street 1:6345 BALBOA BLVD STE 185
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316-1515
Mailing Address - Country:US
Mailing Address - Phone:310-670-9066
Mailing Address - Fax:
Practice Address - Street 1:6345 BALBOA BLVD STE 185
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316-1515
Practice Address - Country:US
Practice Address - Phone:310-670-9066
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-27
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies