Organization
VITAL MEDICAL OXYGEN & SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK SMITH (PRESIDENT/CEO)
(877) 699-9238
Entity
Organization
Contact information
Practice address
13781 ROSWELL AVE, SUITE A, CHINO, CA 91710-5475
(877) 699-9238
(909) 591-9900
Mailing address
13781 ROSWELL AVE, SUITE A, CHINO, CA 91710-5456
(877) 699-9238
(909) 591-9900
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
06/30/2010
Last updated
04/29/2011
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