# AA MEDICAL EQUIPMENT & SUPPLY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AA medical equipment & supply llc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063057669
- **Authorized official:** MR. BINYAM GEBREGZIABHER GEBREHIWOT (PRESIDENT)
- **Authorized official phone:** (619) 794-4260

## Contact information

- **Practice address:** 4951 68TH ST, SAN DIEGO, CA 92115-1704
- **Practice address phone:** (619) 794-4260
- **Mailing address:** 4951 68TH ST, SAN DIEGO, CA 92115-1704
- **Mailing address phone:** (619) 794-4260

## Taxonomy

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

## Other

- **Enumeration date:** 11/07/2019
- **Last updated:** 11/07/2019