Organization
PRIMECARE MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELE CASSIUS SILVA (OWNER)
(661) 424-0952
Entity
Organization
Contact information
Practice address
27013 LANGSIDE AVE STE C, SANTA CLARITA, CA 91351-2557
(661) 424-0952
(661) 424-0965
Mailing address
27013 LANGSIDE AVE STE C, SANTA CLARITA, CA 91351-2557
(661) 424-0952
(661) 424-0965
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/27/2006
Last updated
08/22/2020
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