# SCIENCE AGE MEDICAL SUPPLIES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Science Age Medical Supplies Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710192877
- **Authorized official:** PAULINE N AHUMIBE (PRESIDENT CEO)
- **Authorized official phone:** (213) 385-6256

## Contact information

- **Practice address:** 3660 WILSHIRE BLVD \#924, LOS ANGELES, CA 90010-2705
- **Practice address phone:** (213) 385-6256
- **Practice address fax:** (213) 385-6182
- **Mailing address:** 3660 WILSHIRE BLVD \#924, LOS ANGELES, CA 90010-2705
- **Mailing address phone:** (213) 385-6256
- **Mailing address fax:** (213) 385-6182

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | SRAS97595651 | CA | Yes |

## Other

- **Enumeration date:** 05/11/2007
- **Last updated:** 06/23/2008