# SPECIFIC MEDICAL SUPPLIES INC

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

## Provider details

- **NPI number:** 1235308230
- **Authorized official:** OFFIONG E OFFIONG (PRESIDENT)
- **Authorized official phone:** (818) 882-2868

## Contact information

- **Practice address:** 8700 RESEDA BLVD, 204, NORTHRIDGE, CA 91324-4041
- **Practice address phone:** (818) 882-2868
- **Practice address fax:** (310) 281-6111
- **Mailing address:** 8700 RESEDA BLVD, 204, NORTHRIDGE, CA 91324-4041
- **Mailing address phone:** (818) 882-2868
- **Mailing address fax:** (310) 281-6111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 48967 | CA | Yes |

## Other

- **Enumeration date:** 02/22/2008
- **Last updated:** 04/09/2009