Organization
PREMIER MEDICAL SUPPLY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY K FADIPE (DIRECTOR OF OPERATIONS)
(323) 750-7885
Entity
Organization
Contact information
Practice address
2630 W. MANCHESTER BLVD, SUITE C, INGLEWOOD, CA 90305-2434
(323) 750-7885
(323) 750-7890
Mailing address
2630 W. MANCHESTER BLVD, SUITE C, INGLEWOOD, CA 90305-2434
(323) 750-7885
(323) 750-7890
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
46433
CA
Other
Enumeration date
03/12/2007
Last updated
11/04/2007
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