Provider Demographics
NPI:1447053657
Name:CALIFORNIA HEALTH SUPPLIES LLC
Entity type:Organization
Organization Name:CALIFORNIA HEALTH SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MITCHELL
Authorized Official - Middle Name:
Authorized Official - Last Name:PANTELIDES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-459-1479
Mailing Address - Street 1:11400 W OLYMPIC BLAD
Mailing Address - Street 2:STE 200 UNIT 249
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90064
Mailing Address - Country:US
Mailing Address - Phone:727-459-1479
Mailing Address - Fax:
Practice Address - Street 1:11400 W OLYMPIC BLAD
Practice Address - Street 2:STE 200 UNIT 249
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90064
Practice Address - Country:US
Practice Address - Phone:727-459-1479
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies