# PALMER MEDICAL SUPPLY

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

## Provider details

- **NPI number:** 1730125683
- **Authorized official:** MRS. VICTORIA ILOKUGBE EGBASE (PRESIDENT)
- **Authorized official phone:** (323) 888-1860

## Contact information

- **Practice address:** 3510 W BEVERLY BLVD, MONTEBELLO, CA 90640-1541
- **Practice address phone:** (323) 888-1860
- **Practice address fax:** (323) 888-0050
- **Mailing address:** 3510 W BEVERLY BLVD, MONTEBELLO, CA 90640-1541
- **Mailing address phone:** (323) 888-1860
- **Mailing address fax:** (323) 888-0050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 44547 | CA | Yes |

## Other

- **Enumeration date:** 06/21/2006
- **Last updated:** 03/26/2008