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Organization

AEON MEDICAL EQUIPMENT & SUPPLIES, INC

Active
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Organization

AEON MEDICAL EQUIPMENT & SUPPLIES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHYREEN SIBALA (MANAGER)
(909) 596-3252
Entity
Organization

Contact information

Practice address
1925 MCKINLEY AVE STE B, LA VERNE, CA 91750-5800
(909) 596-3252
(909) 596-3301
Mailing address
1925 MCKINLEY AVE STE B, LA VERNE, CA 91750-5800
(909) 596-3252
(909) 596-3301

Taxonomy

Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
07 00005902
CA

Other

Enumeration date
11/05/2007
Last updated
07/22/2026
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