Organization
TANA MEDICAL SUPPLIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FENTAHUN B FEREDE (PRESIDENT)
(323) 734-7881
Entity
Organization
Contact information
Practice address
1828 S WESTERN AVE, SUITE 7, LOS ANGELES, CA 90006-5808
(323) 734-7881
(323) 734-7882
Mailing address
1828 S WESTERN AVE, SUITE 7, LOS ANGELES, CA 90006-5808
(323) 734-7881
(323) 734-7882
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
46702
CA
Other
Enumeration date
02/15/2007
Last updated
07/16/2007
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