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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PROHEALTH MEDICAL SUPPLY INC
NPI 1104123652
Durable Medical Equipment & Medical Supplies in Los Angeles, CA

Active since February 18, 2011
4509 EAGLE ROCK BLVD, STE B, LOS ANGELES, CA 90041(323) 255-3504(323) 255-3504 Get Directions Write a Review

NPPES record last updated: August 29, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Prohealth Medical Supply Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROHEALTH MEDICAL SUPPLY INC (NPI 1104123652) is a healthcare organization registered as a durable medical equipment & medical supplies in Los Angeles, California and active in the NPI registry since February 2011. The organization lists Abdul R Wahab, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104123652
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NamePROHEALTH MEDICAL SUPPLY INC
Location Address4509 EAGLE ROCK BLVD, STE BLos Angeles, CA 90041-3214
Mailing Address4625 First St, Suite BPleasanton, CA 94566 · (510) 329-7997
Phone(323) 255-3504
Fax(323) 255-3504
Organization SubpartNo
Authorized OfficialAbdul R WahabCeo · (510) 329-7997
Enumeration DateFebruary 18, 2011
Last NPPES UpdateAugust 29, 2026
NPPES CertifiedAugust 29, 2026
✔ NPI 1104123652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in CA · 54295
Definition
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.
4509 EAGLE ROCK BLVD, Los Angeles, CA 90041
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Medical Equipment Supplier Medicare DMEPOS 24

Medicare supplier enrollment and the product categories Prohealth Medical Supply carries, from the Medicare DMEPOS supplier directory.

Prohealth Medical Supply

DMEPOS supplier · Los Angeles, CAOperated by Prohealth Medical Supply Inc
⋮

Does not accept Medicare assignment

Prohealth Medical Supply has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)21609495
Medicare Participant SinceApril 22, 2011
Supplier Location4509 Eagle Rock Blvd Ste BLos Angeles, CA 90041
Phone(323) 255-3504
Provider TypeOxygen & Equipment
Supplier Specialties
Medical Supply Company Other

Medicare Product Categories

Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Heat & Cold Applications
Heat therapy, Cold therapy, Heating pads
Hospital Beds (Electric)
Total electric hospital beds, Semi-electric hospital beds
Hospital Beds (Manual)
Fixed height hospital beds, Variable height hospital beds
Support Surfaces: Pressure Reducing Beds/Mats/Pads
Group 1 – Alternating pressure pad, Air/Water/Dry pressure pad or pressure mattress. Group 2 - Pressure reducing powered air mattresses, Powered air flotation bed, non-powered pressure reducing mattress Group 3 – Air fluidized bed
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARE PROVIDER SERVICE
Nursing Care
4509 EAGLE ROCK BLVD
LOS ANGELES, CA 90041
Los Angeles County (323) 478-7385

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prohealth Medical Supply Inc's NPI number?

The NPI number for Prohealth Medical Supply Inc is 1104123652. It was assigned to this organization in the NPPES registry on February 18, 2011.

Where is Prohealth Medical Supply Inc located?

Prohealth Medical Supply Inc is located at 4509 Eagle Rock Blvd Ste B, Los Angeles, CA 90041. The listed phone number is (323) 255-3504.

What is Prohealth Medical Supply Inc's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Prohealth Medical Supply Inc accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Prohealth Medical Supply does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

When was this NPI record last updated?

The NPPES record for Prohealth Medical Supply Inc was last updated on August 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.