# EL MONTE NUTRITIONAL AND MEDICAL SUPPLIES

> 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:** 1669701090
- **Authorized official:** DR. ISHAK N.Z. BISHARA M.D. (OWNER)
- **Authorized official phone:** (626) 442-5015

## Contact information

- **Practice address:** 2002 DURFEE AVE, EL MONTE, CA 91733-3713
- **Practice address phone:** (626) 975-9712
- **Practice address fax:** (626) 442-7810
- **Mailing address:** 2002 DURFEE AVE, EL MONTE, CA 91733-3713
- **Mailing address phone:** (626) 975-9712
- **Mailing address fax:** (626) 442-7810

## Taxonomy

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

## Other

- **Enumeration date:** 12/14/2009
- **Last updated:** 12/14/2009