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Organization
AVASCO MEDICAL SUPPLY INC.
Active
Organization
AVASCO MEDICAL SUPPLY INC.
Active
Other names
Avasco Medical Supply Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDY ABABSEH (OWNER)
(805) 522-5333
Entity
Organization
Contact information
Practice address
690 EAST LOS ANGELES AVE., SUITE D, SIMI VALLEY, CA 93065-7503
(805) 522-5333
(805) 522-6333
Mailing address
690 EAST LOS ANGELES AVE., SUITE D, SIMI VALLEY, CA 93065-7503
(805) 522-5333
(805) 522-6333
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
396218-03
CA
332BX2000X
Oxygen Equipment & Supplies (DME)
100631
CA
335E00000X
Prosthetic/Orthotic Supplier
396218-03
CA
Other
Enumeration date
06/01/2005
Last updated
04/03/2012
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