# ACE MEDICAL SUPPLY, LLC

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

## Provider details

- **NPI number:** 1083641617
- **Authorized official:** ABIJATU H SESAY (OWNER)
- **Authorized official phone:** (310) 676-2060

## Contact information

- **Practice address:** 15030 PRAIRIE AVENUE, LOS ANGELES, CA 90250
- **Practice address phone:** (310) 676-2060
- **Practice address fax:** (310) 676-3612
- **Mailing address:** 15030, PRAIRIE AVENUE, LOS ANGELES, CA 90250
- **Mailing address phone:** (310) 676-2060
- **Mailing address fax:** (310) 676-3612

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 5672260001 | CA | Yes |

## Other

- **Enumeration date:** 06/27/2006
- **Last updated:** 08/22/2020