# SOPHIA'S MEDICAL SUPPLIES CO.

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

## Provider details

- **NPI number:** 1760418206
- **Authorized official:** SOPHIA L SYVORAVONG (OWNER)
- **Authorized official phone:** (714) 928-0952

## Contact information

- **Practice address:** 1517 W JUNO AVE, ANAHEIM, CA 92802-1622
- **Practice address phone:** (714) 758-9490
- **Practice address fax:** (714) 758-9490
- **Mailing address:** 1745 W LA PALMA AVE, ANAHEIM, CA 92801-3529
- **Mailing address phone:** (714) 758-9490
- **Mailing address fax:** (714) 758-9490

## Taxonomy

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

## Other

- **Enumeration date:** 06/25/2006
- **Last updated:** 08/22/2020