# RAMI MEDICAL DENTAL SUPPLY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003069618
- **Authorized official:** RAMI ABDELLA (OWNER)
- **Authorized official phone:** (310) 951-3823

## Contact information

- **Practice address:** 25835 NARBONNE AVE, SUITE 200 F, LOMITA, CA 90717-3074
- **Practice address phone:** (310) 951-3823
- **Practice address fax:** (866) 390-3791
- **Mailing address:** 25835 NARBONNE AVE, SUITE 200 F, LOMITA, CA 90717-3074
- **Mailing address phone:** (310) 951-3823
- **Mailing address fax:** (866) 390-3791

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | SR AS 101-107798 | CA | Yes |

## Other

- **Enumeration date:** 10/28/2008
- **Last updated:** 10/28/2008