Organization
DYNASTY MEDICAL DISTRIBUTORS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UBONG EDEM (PRESIDENT)
(818) 576-0036
Entity
Organization
Contact information
Practice address
10231 TOPANGA CANYON BLVD STE C, CHATSWORTH, CA 91311-2804
(818) 576-0036
Mailing address
10231 TOPANGA CANYON BLVD STE C, CHATSWORTH, CA 91311-2804
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
43052
CA
Other
Enumeration date
07/09/2006
Last updated
08/22/2020
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