Organization
GEOFFERY ODEGA
Active
Other names
JOY MEDICAL SUPPLIES
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFERY ODEGA (OWNER)
(714) 480-0098
Entity
Organization
Contact information
Practice address
1905 E 17TH ST, STE 124, SANTA ANA, CA 92705-8628
(714) 480-0098
(714) 480-0081
Mailing address
1905 E 17TH ST, STE 124, SANTA ANA, CA 92705-8628
(714) 480-0098
(714) 480-0081
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
45855
CA
332BC3200X
Customized Equipment (DME)
45855
CA
Other
Enumeration date
11/15/2006
Last updated
06/19/2008
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