OIG exclusion detail
PACOIMA MEDICAL SUPPLY
This page shows an imported LEIE row. Verify details against the official OIG source before acting.
Imported OIG rowOfficial OIG source
- NPI
- 0000000000
- Name
- PACOIMA MEDICAL SUPPLY
- Address
- 10768 GLENDALE BLVD, PACOIMA, CA, 91331
- Specialty
- DME - GENERAL
- Exclusion type
- 1128b8
- Exclusion date
- 20020418
- Reinstatement date
- 00000000
- Waiver
- 00000000
Source snapshot
Imported: May 05, 2026
Rows: 83,001
Checksum: 3a10b8ee0e4691855f74ce65a5e733672474291f79ed1f7cef163328d945e9a7
Open matching NPI page