Organization
CAPITOL MEDICAL SUPPLY INC
Active
Other names
CAPITOL MEDICAL
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAMERIA AHMED IBRAHIM (OWNER/PRESIDENT)
(424) 247-8165
Entity
Organization
Contact information
Practice address
3629 N SEPULVEDA BLVD # 103, MANHATTAN BEACH, CA 90266-3632
(424) 247-8165
(424) 247-8830
Mailing address
3629 N SEPULVEDA BLVD # 103, MANHATTAN BEACH, CA 90266-3632
(424) 247-8165
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/08/2019
Last updated
06/11/2019
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