Organization
MEDI-STOP HOME MEDICAL SUPPLIER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MANUEL G HERNANDEZ (GENERAL MANAGER)
(661) 328-9920
Entity
Organization
Contact information
Practice address
815 34TH ST, BAKERSFIELD, CA 93301-2211
(661) 328-9920
(661) 328-0375
Mailing address
PO BOX 40547, BAKERSFIELD, CA 93384-0547
(661) 328-9920
(661) 328-0375
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9674128
—
CA
Enumeration date
10/06/2006
Last updated
12/14/2010
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