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Organization
A-MED HEALTH CARE CENTER
Active
Organization
A-MED HEALTH CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY N THACKER JR. (CFO)
(800) 289-5476
Entity
Organization
Contact information
Practice address
5082 BOLSA AVE, SUITE 103, HUNTINGTON BEACH, CA 92649-1065
(800) 289-5476
(714) 890-3810
Mailing address
5082 BOLSA AVE, SUITE 103, HUNTINGTON BEACH, CA 92649-1065
(800) 289-5476
(714) 890-3810
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
100491
CA
Other
Enumeration date
06/16/2006
Last updated
08/22/2020
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