Organization
JA MEDICAL SUPPLIES.
Active
Other names
JA Medical Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE ANDREA MADRIGAL (ADMINISTRATIVE ASSISTANT)
(909) 868-1160
Entity
Organization
Contact information
Practice address
675 N PARK AVE, POMONA, CA 91768-3622
(909) 868-1160
(909) 469-6086
Mailing address
675 N PARK AVE, POMONA, CA 91768-3622
(909) 868-1160
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
C37948
CA
Other
Enumeration date
08/25/2009
Last updated
08/25/2009
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