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Organization

PACIFICA MEDICAL SUPPLIES, INC.

Active
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Organization

PACIFICA MEDICAL SUPPLIES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHUMA NWAKO (PRESIDENT)
(310) 630-1600
Entity
Organization

Contact information

Practice address
15238 CRENSHAW BLVD, GARDENA, CA 90249-4049
(310) 630-1600
Mailing address
PO BOX 88121, LOS ANGELES, CA 90009-8121

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL

Other

Enumeration date
08/05/2009
Last updated
08/05/2009
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