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Organization
EL MONTE NUTRITIONAL AND MEDICAL SUPPLIES
Active
Organization
EL MONTE NUTRITIONAL AND MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISHAK N.Z. BISHARA M.D. (OWNER)
(626) 442-5015
Entity
Organization
Contact information
Practice address
2002 DURFEE AVE, EL MONTE, CA 91733-3713
(626) 975-9712
(626) 442-7810
Mailing address
2002 DURFEE AVE, EL MONTE, CA 91733-3713
(626) 975-9712
(626) 442-7810
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
12/14/2009
Last updated
12/14/2009
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