Organization
SPECIFIC MEDICAL SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OFFIONG E OFFIONG (PRESIDENT)
(818) 882-2868
Entity
Organization
Contact information
Practice address
8700 RESEDA BLVD, 204, NORTHRIDGE, CA 91324-4041
(818) 882-2868
(310) 281-6111
Mailing address
8700 RESEDA BLVD, 204, NORTHRIDGE, CA 91324-4041
(818) 882-2868
(310) 281-6111
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
48967
CA
Other
Enumeration date
02/22/2008
Last updated
04/09/2009
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