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Organization
AGOMO HOME MEDICAL SUPPLIES, INC.
Active
Organization
AGOMO HOME MEDICAL SUPPLIES, INC.
Active
Other names
AGOMO HOME MEDICAL SUPPLIES
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS PONCE (PRESIDENT)
(562) 704-6190
Entity
Organization
Contact information
Practice address
10638 BURBANK BLVD, NORTH HOLLYWOOD, CA 91601-2511
(818) 985-1753
(818) 985-1593
Mailing address
10638 BURBANK BLVD, NORTH HOLLYWOOD, CA 91601
(818) 985-1753
(818) 985-1593
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
55075
CA
Other
Enumeration date
05/20/2006
Last updated
09/29/2011
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