# GO WEST MEDICAL & EQUIPMENT SUPPLIES INC

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

## Provider details

- **NPI number:** 1821190638
- **Authorized official:** MR. SANFRANCIS OMUSON (PRESIDENT)
- **Authorized official phone:** (323) 549-9889

## Contact information

- **Practice address:** 5779 VENICE BLVD, LOS ANGELES, CA 90019-5017
- **Practice address phone:** (323) 549-9889
- **Practice address fax:** (323) 549-9864
- **Mailing address:** 5779 VENICE BLVD, LOS ANGELES, CA 90019-5017
- **Mailing address phone:** (323) 549-9889
- **Mailing address fax:** (323) 549-9864

## Taxonomy

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

## Other

- **Enumeration date:** 09/02/2006
- **Last updated:** 10/28/2010