# PROHEALTH MEDICAL SUPPLY INC

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

## Provider details

- **NPI number:** 1104123652
- **Authorized official:** MR. ABDUL R WAHAB (CEO)
- **Authorized official phone:** (510) 329-7997

## Contact information

- **Practice address:** 4509 EAGLE ROCK BLVD, STE B, LOS ANGELES, CA 90041-3214
- **Practice address phone:** (323) 255-3504
- **Practice address fax:** (323) 255-3504
- **Mailing address:** 4625 FIRST ST, SUITE B, PLEASANTON, CA 94566
- **Mailing address phone:** (510) 329-7997

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 54295 | CA | Yes |

## Other

- **Enumeration date:** 02/18/2011
- **Last updated:** 08/29/2026