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Organization

MEDTECH MEDICAL SUPPLY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
OLAWALE AYOOLA OYETIBO (MEMBER)
(626) 962-7580
Entity
Organization

Contact information

Practice address
1331 W GARVEY AVE N, WEST COVINA, CA 91790-2242
(626) 962-7580
(626) 960-1659
Mailing address
PO BOX 2098, POMONA, CA 91769-2098
(626) 962-7580
(626) 960-1659

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
49380
CA

Other

Enumeration date
05/14/2007
Last updated
05/06/2009
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