Organization
ALLIED MEDICAL SUPPLY, INC
Active
Other names
Allied Medical & Surgical Supply Co.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LIVIA DE LOS RIOS (PRESIDENT)
(714) 617-4622
Entity
Organization
Contact information
Practice address
170 EL CAMINO REAL STE 101, TUSTIN, CA 92780-3658
(714) 617-4622
(714) 617-4176
Mailing address
170 EL CAMINO REAL STE 101, TUSTIN, CA 92780-3658
(714) 617-4622
(714) 617-4176
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
50074
CA
332BC3200X
Customized Equipment (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154369049
—
CA
Enumeration date
06/03/2006
Last updated
04/01/2026
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