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Organization
COLGATE MEDICAL AND SURGICAL SUPPLIES, INC.
Active
Organization
COLGATE MEDICAL AND SURGICAL SUPPLIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LANA KAGANOVSKY (PRESIDENT)
(323) 782-0145
Entity
Organization
Contact information
Practice address
425 S FAIRFAX AVE STE 209, LOS ANGELES, CA 90036-3148
(323) 782-0145
(323) 782-0273
Mailing address
425 S FAIRFAX AVE STE 209, LOS ANGELES, CA 90036-3148
(323) 782-0145
(323) 782-0273
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
52093
CA
332BX2000X
Oxygen Equipment & Supplies (DME)
52093
CA
335E00000X
Prosthetic/Orthotic Supplier
52093
CA
Other
Enumeration date
05/07/2007
Last updated
01/11/2024
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