# POMONA SURGICAL SUPPLY CO., INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** pomona surgical supply co.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912228362
- **Authorized official:** MR. JOHN HELLIESEN (CEO)
- **Authorized official phone:** (909) 623-4378

## Contact information

- **Practice address:** 733 E HOLT AVE, POMONA, CA 91767-5627
- **Practice address phone:** (909) 623-4378
- **Practice address fax:** (909) 622-2375
- **Mailing address:** 733 E HOLT AVE, POMONA, CA 91767-5627
- **Mailing address phone:** (909) 623-4378
- **Mailing address fax:** (909) 622-2375

## Taxonomy

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

## Other

- **Enumeration date:** 06/21/2010
- **Last updated:** 06/21/2010