# ASENETE MEDICAL SUPPLY

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

## Provider details

- **NPI number:** 1346223633
- **Authorized official:** UBEN O RUSH (CEO)
- **Authorized official phone:** (562) 630-4789

## Contact information

- **Practice address:** 16444 PARAMOUNT BLVD, SUITE 205, PARAMOUNT, CA 90723-5422
- **Practice address phone:** (562) 630-4789
- **Practice address fax:** (562) 630-6179
- **Mailing address:** PO BOX 2343, GARDENA, CA 90247-0343
- **Mailing address phone:** (562) 630-4789
- **Mailing address fax:** (562) 630-6179

## Taxonomy

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

## Other

- **Enumeration date:** 11/21/2005
- **Last updated:** 08/22/2020