Organization
ESSENCE MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AMBROSE N NWACHIE (PRESIDENT)
(323) 565-1909
Entity
Organization
Contact information
Practice address
2630 W MANCHESTER BLVD, INGLEWOOD, CA 90305-2434
(323) 565-1909
(323) 565-1943
Mailing address
2630 W MANCHESTER BLVD, INGLEWOOD, CA 90305-2434
(323) 565-1909
(323) 565-1943
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
332100000X
CA
Other
Enumeration date
12/14/2009
Last updated
12/14/2009
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