# MEDICAL BASE CORP

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

## Provider details

- **NPI number:** 1366554263
- **Authorized official:** MR. JACK WU (CEO)
- **Authorized official phone:** (626) 582-1670

## Contact information

- **Practice address:** 9519 RUSH ST STE B, SOUTH EL MONTE, CA 91733-1556
- **Practice address phone:** (626) 582-1670
- **Practice address fax:** (626) 582-1679
- **Mailing address:** 9519 E. RUSH ST. UNIT B, SO. EL MONTE, CA 91733
- **Mailing address phone:** (626) 582-1670
- **Mailing address fax:** (626) 582-1679

## Taxonomy

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

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 08/22/2020