# AGOMO HOME MEDICAL SUPPLIES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AGOMO HOME MEDICAL SUPPLIES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376597781
- **Authorized official:** DENNIS PONCE (PRESIDENT)
- **Authorized official phone:** (562) 704-6190

## Contact information

- **Practice address:** 10638 BURBANK BLVD, NORTH HOLLYWOOD, CA 91601-2511
- **Practice address phone:** (818) 985-1753
- **Practice address fax:** (818) 985-1593
- **Mailing address:** 10638 BURBANK BLVD, NORTH HOLLYWOOD, CA 91601
- **Mailing address phone:** (818) 985-1753
- **Mailing address fax:** (818) 985-1593

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 55075 | CA | Yes |

## Other

- **Enumeration date:** 05/20/2006
- **Last updated:** 09/29/2011