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Organization

PRESTIGE MEDICAL SUPPLY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH A KERMAH (OWNER)
(310) 324-0786
Entity
Organization

Contact information

Practice address
1320 WEST GARDENA BLVD, #107, GARDENA, CA 90247
(310) 324-0786
(310) 324-0211
Mailing address
1320 WEST GARDENA BLVD, #107, GARDENA, CA 90247
(310) 324-0786
(310) 324-0211

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
11/29/2006
Last updated
06/23/2008
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