# BERNARD S GIBESON

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CONQUEST MEDICAL SUPPLY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821208943
- **Authorized official:** MR. BERNARD S GIBESON (OWNER)
- **Authorized official phone:** (310) 630-5885

## Contact information

- **Practice address:** 1900 W REDONDO BEACH BLVD, GARDENA, CA 90247-3624
- **Practice address phone:** (310) 630-5885
- **Practice address fax:** (310) 630-0189
- **Mailing address:** 1900 W REDONDO BEACH BLVD, GARDENA, CA 90247-3624
- **Mailing address phone:** (310) 630-5885
- **Mailing address fax:** (310) 630-0189

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1317830001 | CA | Yes |

## Other

- **Enumeration date:** 05/23/2007
- **Last updated:** 06/20/2008