Organization
ALL HOME MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEH MODY (PRESIDENT)
(619) 795-0217
Entity
Organization
Contact information
Practice address
4150 CONVOY ST, SAN DIEGO, CA 92111-3702
(800) 388-8184
(619) 795-1257
Mailing address
4150 CONVOY ST, SAN DIEGO, CA 92111-3702
(800) 388-8184
(619) 795-1257
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2011027998
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0073863
—
OH
05
—
1144505272
—
CA
01
—
74127
HOME MEDICAL DEVICE RETAIL LICENSE
CA
Enumeration date
10/20/2011
Last updated
03/16/2018
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