# JONGRO MEDICAL SUPPLY INC

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

## Provider details

- **NPI number:** 1205126471
- **Authorized official:** MRS. SUN JOO LEE (CEO)
- **Authorized official phone:** (714) 530-8275

## Contact information

- **Practice address:** 9442 GARDEN GROVE BLVD, GARDEN GROVE, CA 92844-1453
- **Practice address phone:** (714) 530-8275
- **Practice address fax:** (714) 530-8274
- **Mailing address:** 9442 GARDEN GROVE BLVD, GARDEN GROVE, CA 92844-1453
- **Mailing address phone:** (714) 530-8275
- **Mailing address fax:** (714) 530-8274

## Taxonomy

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

## Other

- **Enumeration date:** 04/08/2011
- **Last updated:** 08/31/2011