Organization
EXPRESS MEDICAL SUPPLY, LLC
Active
Other names
Express Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MELVIN JOCSON MESA (CEO/ PRESIDENT)
(619) 423-2600
Entity
Organization
Contact information
Practice address
639 MARSAT CT, SUITE B, CHULA VISTA, CA 91911-4678
(619) 423-2600
(619) 423-2681
Mailing address
639 MARSAT CT, SUITE B, CHULA VISTA, CA 91911-4678
(619) 423-2600
(619) 423-2681
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
58042
CA
Other
Enumeration date
06/15/2012
Last updated
06/15/2012
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