Organization
ALPHA CARE MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHIOMA ORANU (MANAGING DIRECTOR)
(310) 847-7070
Entity
Organization
Contact information
Practice address
21235 S WILMINGTON AVE, SUITE 6, LONG BEACH, CA 90810-1200
(310) 847-7070
(310) 847-7171
Mailing address
21235 S WILMINGTON AVE, SUITE 6, LONG BEACH, CA 90810-1200
(310) 847-7070
(310) 847-7171
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
SR AA 101-643123
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SR AA 101-643123
CA STATE BOARD OF EQUALIZATION
CA
Enumeration date
09/26/2010
Last updated
09/26/2010
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