Organization
WICKED MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOEY TUSIA (PRESIDENT)
(562) 843-2573
Entity
Organization
Contact information
Practice address
5580 IMPERIAL HWY, SOUTH GATE, CA 90280-7418
(855) 850-5888
Mailing address
5580 IMPERIAL HWY, SOUTH GATE, CA 90280-7418
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/22/2009
Last updated
07/23/2015
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