Provider Demographics
NPI:1962722587
Name:DME PROFESSIONAL, INC
Entity type:Organization
Organization Name:DME PROFESSIONAL, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SALEM
Authorized Official - Middle Name:
Authorized Official - Last Name:ALKATEB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-302-3910
Mailing Address - Street 1:PO BOX 14635
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92623-4635
Mailing Address - Country:US
Mailing Address - Phone:143-759-3637
Mailing Address - Fax:714-848-9363
Practice Address - Street 1:18271 MCDURMOTT W STE A1
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614
Practice Address - Country:US
Practice Address - Phone:714-375-9363
Practice Address - Fax:714-848-9363
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-04
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53507332B00000X
CA99005332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA=========OtherTAX ID