Organization
AMERICAN SURGICAL MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLEN LAFAYETTE NEWSOME III RTS (VICE PRESIDNET)
(760) 599-8800
Entity
Organization
Contact information
Practice address
24735 REDLANDS BLVD STE A, LOMA LINDA, CA 92354-4033
(866) 611-7205
(909) 366-5988
Mailing address
6965 EL CAMINO REAL # 105-253, CARLSBAD, CA 92009-4100
(760) 599-8800
(760) 599-8844
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
04/03/2019
Last updated
01/06/2022
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