Provider Demographics
NPI:1841665973
Name:BIOMED CALIFORNIA, INC
Entity type:Organization
Organization Name:BIOMED CALIFORNIA, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:C
Authorized Official - Last Name:WALK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:833-765-3648
Mailing Address - Street 1:2801 NETWORK BLVD STE 505
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-1895
Mailing Address - Country:US
Mailing Address - Phone:833-765-3648
Mailing Address - Fax:603-718-3824
Practice Address - Street 1:721 S GLASGOW AVE.
Practice Address - Street 2:SUITE C
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90301-3016
Practice Address - Country:US
Practice Address - Phone:310-665-1121
Practice Address - Fax:310-665-1141
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOLEO HEALTH HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-12-01
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY501683336H0001X
332800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332800000XSuppliersIndian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy