Organization
ORTHOPAEDIC MEDICAL SUPPLIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN RICHARD DEBENCE OTC (CEO/OFFICER)
(951) 549-9696
Entity
Organization
Contact information
Practice address
770 MAGNOLIA AVE, SUITE 1H, CORONA, CA 92879-3120
(951) 549-9696
(951) 808-9952
Mailing address
770 MAGNOLIA AVE, SUITE 1H, CORONA, CA 92879-3120
(951) 549-9696
(951) 808-9952
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
44124
CA
Other
Enumeration date
09/16/2006
Last updated
02/14/2008
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