Provider Demographics
NPI:1285802777
Name:TEMPLE MEDICAL SUPPLY, INC.
Entity type:Organization
Organization Name:TEMPLE MEDICAL SUPPLY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & GENERAL MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY IMELDA
Authorized Official - Middle Name:QUIAMBAO
Authorized Official - Last Name:PANLILIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-413-5780
Mailing Address - Street 1:1925 W TEMPLE ST
Mailing Address - Street 2:SUITE 211-B
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90026-4970
Mailing Address - Country:US
Mailing Address - Phone:213-413-5780
Mailing Address - Fax:213-413-5388
Practice Address - Street 1:1925 W TEMPLE ST
Practice Address - Street 2:SUITE 211-B
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90026-4970
Practice Address - Country:US
Practice Address - Phone:213-413-5780
Practice Address - Fax:213-413-5388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-19
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies