Organization
ADVANCE DME AND MEDICAL SUPPLIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDY JOHNSON MONAHAN (PRESIDENT)
(562) 631-3316
Entity
Organization
Contact information
Practice address
670 S JEFFERSON ST STE A, PLACENTIA, CA 92870-6638
(833) 693-6393
Mailing address
670 S JEFFERSON ST STE A, PLACENTIA, CA 92870-6638
(833) 693-6393
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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