Organization
ADVANCE MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS RICARDO MAGANA (OWNER/PARTNER)
(562) 846-4842
Entity
Organization
Contact information
Practice address
441 E WHITTIER BLVD, SUITE A, LA HABRA, CA 90631-3982
(562) 846-4842
(562) 846-4829
Mailing address
441 E WHITTIER BLVD, SUITE A, LA HABRA, CA 90631-3982
(562) 846-4842
(562) 846-4829
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
102074190
CA
Other
Enumeration date
01/05/2012
Last updated
04/20/2012
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