# FRONT MEDICAL SUPPLIES INC

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

## Provider details

- **NPI number:** 1508007170
- **Authorized official:** WISSAM GIBO (PRESIDENT)
- **Authorized official phone:** (888) 820-5880

## Contact information

- **Practice address:** 316 FRONT ST, SUITE 202, EL CAJON, CA 92020-4252
- **Practice address phone:** (888) 820-5880
- **Practice address fax:** (619) 401-6913
- **Mailing address:** 316 FRONT ST, SUITE 202, EL CAJON, CA 92020-4252
- **Mailing address phone:** (888) 820-5880
- **Mailing address fax:** (619) 401-6913

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 50851 | CA | Yes |

## Other

- **Enumeration date:** 03/11/2009
- **Last updated:** 11/16/2011
