Organization
SUPERIOR MED SURGICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMELITA S. AMORANTO (OPERATION MANAGER)
(909) 980-0065
Entity
Organization
Contact information
Practice address
9445 FAIRWAY VIEW PL., #100, RANCHO CUCAMONGA, CA 91730
(909) 980-0065
(909) 980-0303
Mailing address
1030 N MOUNTAIN AVE, #201, ONTARIO, CA 91762
(909) 980-0065
(909) 980-0303
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
HMDR LICENSE # 51915
CA
332B00000X
Durable Medical Equipment & Medical Supplies
N/A
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51915
HMDR LICENSE
CA
Enumeration date
01/14/2009
Last updated
06/01/2010
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