Organization
HERITAGE MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABERA GEBRE (CEO)
(310) 678-5886
Entity
Organization
Contact information
Practice address
1210 S LA BREA AVE STE I, INGLEWOOD, CA 90301-3891
(310) 256-4870
(310) 673-1971
Mailing address
1210 S LA BREA AVE STE I, INGLEWOOD, CA 90301-3891
(310) 256-4870
(310) 673-1971
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
48597
CA
Other
Enumeration date
04/03/2008
Last updated
05/13/2008
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