# ALLIED MEDICAL SUPPLY, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ALLIED MEDICAL SUPPLY, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1013502848
- **Legal business name:** ALLIED MEDICAL SUPPLY, INC.
- **Authorized official:** LIVIA DE LOS RIOS (PRESIDENT/CEO)
- **Authorized official phone:** (714) 617-4622

## Contact information

- **Practice address:** 9673 SIERRA AVE STE D, FONTANA, CA 92335-2424
- **Practice address phone:** (714) 617-6222
- **Practice address fax:** (714) 617-4176
- **Mailing address:** 170 EL CAMINO REAL STE 101, TUSTIN, CA 92780-3658
- **Mailing address phone:** (714) 617-4622

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 03/03/2021
- **Last updated:** 03/03/2021