Organization
WESTERN MEDICAL SUPPLY SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY IKENZE (DIRECTOR)
(310) 323-3600
Entity
Organization
Contact information
Practice address
14803 S WESTERN AVE, GARDENA, CA 90249-3309
(310) 323-3600
(310) 323-3604
Mailing address
14803 S WESTERN AVE, GARDENA, CA 90249-3309
(310) 323-3600
(310) 323-3604
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/19/2009
Last updated
12/08/2010
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