# FV MEDICAL SUPPLIES, INC.

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

## Provider details

- **NPI number:** 1023723905
- **Authorized official:** CLARENCE BLAYLOCK (CEO)
- **Authorized official phone:** (714) 485-5019

## Contact information

- **Practice address:** 10061 TALBERT AVE STE 236, FOUNTAIN VALLEY, CA 92708-5159
- **Practice address phone:** (714) 485-5019
- **Mailing address:** 10061 TALBERT AVE STE 236, FOUNTAIN VALLEY, CA 92708-5159

## Taxonomy

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

## Other

- **Enumeration date:** 01/16/2023
- **Last updated:** 08/03/2023