Organization
AMPLE GROUP HOLDING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. COMFORT SAM (SECRETARY)
(909) 623-4807
Entity
Organization
Contact information
Practice address
339 E MISSION BLVD, POMONA, CA 91766-1848
(909) 623-4807
(909) 623-4907
Mailing address
339 E MISSION BLVD, POMONA, CA 91766-1848
(909) 623-4807
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
46016
CA
Other
Enumeration date
10/13/2006
Last updated
01/19/2011
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