NPI: 1902200918 · SAN LUIS OBISPO, CA 93405 · Durable Medical Equipment & Medical Supplies · NPI assigned 10/20/2014
| Authorized Official | WALLACE, MATTHEW (PRESIDENT) |
| Parent Organization | WALLACE HOME MEDICAL SUPPLIES |
| NPI Enumeration Date | 10/20/2014 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 104 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| E0601 | Continuous positive airway pressure (cpap) device | 104 | 102 | $7K |