Organization
MEDICAL SUPPLY DEPOT 2, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORBERTO BARROGA (PRESIDENT)
(760) 768-3172
Entity
Organization
Contact information
Practice address
840 S IMPERIAL AVE, SUITE B, CALEXICO, CA 92231-3116
(760) 768-3172
(760) 768-1578
Mailing address
840 S IMPERIAL AVE, SUITE B, CALEXICO, CA 92231-3116
(760) 768-3172
(760) 768-1578
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
09/03/2009
Last updated
09/03/2009
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