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BOONMA PHOMMALAYVANE
NPI 1972923332
Durable Medical Equipment & Medical Supplies in Rancho Cucamonga, CA

Active since April 23, 2014
8218 9TH ST, RANCHO CUCAMONGA, CA 91730(909) 731-6206 Get Directions Write a Review

NPPES record last updated: April 23, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Boonma Phommalayvane NPPES

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

BOONMA PHOMMALAYVANE (NPI 1972923332) is an individual durable medical equipment & medical supplies provider in Rancho Cucamonga, California and active in the NPI registry since April 2014.

NPPES Registry Identity

NPI1972923332
Entity TypeIndividualMale
Primary Taxonomy332B00000X
Provider Legal NameBOONMA PHOMMALAYVANE
Location Address8218 9TH STRancho Cucamonga, CA 91730-5031
Mailing Address8218 9th StRancho Cucamonga, CA 91730-5031 · (909) 731-6206
Phone(909) 731-6206
Sole ProprietorYes
Enumeration DateApril 23, 2014
✔ NPI 1972923332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
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.
8218 9TH ST, Rancho Cucamonga, CA 91730
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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 Boonma Phommalayvane's NPI number?

The NPI number for Boonma Phommalayvane is 1972923332. It was assigned to this individual provider in the NPPES registry on April 23, 2014.

Where is Boonma Phommalayvane located?

Boonma Phommalayvane practices at 8218 9th St, Rancho Cucamonga, CA 91730. The listed phone number is (909) 731-6206.

What is Boonma Phommalayvane's specialty?

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

When was this NPI record last updated?

The NPPES record for Boonma Phommalayvane was last updated on April 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.