Organization
GOLD MEDICAL SUPPLIES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE SEMENIUTA JD, LLM (REGIONAL DIRECTOR)
(424) 465-3700
Entity
Organization
Contact information
Practice address
1450 2ND ST, SANTA MONICA, CA 90401-2302
(424) 465-3700
Mailing address
1223 WILSHIRE BLVD # 980, SANTA MONICA, CA 90403-5406
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/05/2017
Last updated
09/05/2017
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