Organization
ELITE MEDICAL DISTRIBUTORS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS O OWUMI (DIRECTOR OF OPERATIONS)
(714) 323-2305
Entity
Organization
Contact information
Practice address
4549 W ROSECRANS AVE, HAWTHORNE, CA 90250-6935
(310) 970-9600
(310) 970-9669
Mailing address
4549 W ROSECRANS AVE, HAWTHORNE, CA 90250-6935
(310) 970-9600
(310) 970-9669
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
103556
CA
Other
Enumeration date
02/13/2006
Last updated
03/28/2008
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