Organization
WEST COAST MEDICAL DISTRIBUTORS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALFRED T NDIFORCHU (OWNER)
(310) 516-0193
Entity
Organization
Contact information
Practice address
454 E CARSON PLAZA DR, SUITE 101, CARSON, CA 90746-3209
(310) 516-0193
(310) 516-1981
Mailing address
454 E CARSON PLAZA DR, SUITE 101, CARSON, CA 90746-3209
(310) 516-0193
(310) 516-1981
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
4260970001
CA
Other
Enumeration date
07/10/2006
Last updated
08/22/2020
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