# ALPHA OMEGA MEDICAL SUPPLY,INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1558472886
- **Authorized official:** MS. EDEN G GEBERSELASSIE (PRESIDENT)
- **Authorized official phone:** (310) 670-5890

## Contact information

- **Practice address:** 1626 CENTINELA AVE, SUITE 1, INGLEWOOD, CA 90302-1047
- **Practice address phone:** (310) 670-5890
- **Practice address fax:** (310) 670-3588
- **Mailing address:** 1626 CENTINELA AVE, SUITE 1, INGLEWOOD, CA 90302-1047
- **Mailing address phone:** (310) 670-5890
- **Mailing address fax:** (310) 670-3588

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 102992 | CA | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 04/02/2008