Provecta Medical Supply Llc
Durable Medical Equipment & Medical Supplies
6333 Wilshire Blvd Fl 1, Los Angeles
California, 90048-5702
310-861-3738 Provecta Medical Supply Llc is a Durable Medical Equipment & Medical Supplies in Los Angeles, California. It is located at 6333 Wilshire Blvd Fl 1, Los Angeles and it's customer support contact number is 310-861-3738. The authorized person of Provecta Medical Supply Llc is Reza Jabarzade who is Ceo of this DME and his contact number is 424-281-8834. Provecta Medical Supply Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Provecta Medical Supply Llc is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Provecta Medical Supply Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Provecta Medical Supply Llc |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 6333 Wilshire Blvd Fl 1, Los Angeles,
California, 90048-5702 |
| Phone: | 310-861-3738 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Reza Jabarzade |
| Position: | Ceo |
| Contact Number: | 424-281-8834 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1992589873 |
| NPI Enumeration Date: | 22 Aug, 2023 |
| NPI Last Update On: | 05 Dec, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Provecta Medical Supply Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | | | Primary | |
Medicare Enrollment:
Provecta Medical Supply Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 7517318587 | O20240104001026 | Provecta Medical Supply Llc | DME SUPPLIER - MEDICAL SUPPLY COMPANY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 6333 Wilshire Blvd Fl 1,
Los Angeles, California |
| Zip: | 90048-5702 |
| Phone Number: | 310-861-3738 |
Patients can reach Provecta Medical Supply Llc at
6333 Wilshire Blvd Fl 1, Los Angeles, California or can
call on customer care at 310-861-3738.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.