Organization
WESTSIDE MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IROEGBU BOBBY ACHARA (PRESIDENT)
(661) 974-8307
Entity
Organization
Contact information
Practice address
44300 DIVISION ST STE B, LANCASTER, CA 93535-3512
(661) 974-8307
(661) 974-8308
Mailing address
38713 TIERRA SUBIDA AVE STE 200-192, PALMDALE, CA 93551-4562
(661) 974-8307
(661) 974-8308
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
45517
CA
Other
Enumeration date
10/12/2006
Last updated
03/14/2008
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