Organization
SPECTRUM MEDICAL AND EQUIPMENT SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES OKPALA (CEO)
(909) 886-2263
Entity
Organization
Contact information
Practice address
2601 DEL ROSA AVE, B240-SUITE 104, SAN BERNARDINO, CA 92404-4412
(909) 380-5025
(909) 886-2263
Mailing address
2601 DEL ROSA AVE, B240-SUITE 104, SAN BERNARDINO, CA 92404-4412
(909) 380-5025
(909) 886-2263
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
103779
CA
Other
Enumeration date
07/13/2006
Last updated
01/04/2010
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