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Organization

AYAH'S MEDICAL SUPPLY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NEDAL SETABOUHA (MEMBER)
(310) 970-7900
Entity
Organization

Contact information

Practice address
13335 HAWTHORNE BLVD, HAWTHORNE, CA 90250-5802
(310) 970-7900
(310) 970-7901
Mailing address
13335 HAWTHORNE BLVD, HAWTHORNE, CA 90250-5802
(310) 970-7900
(310) 970-7901

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
48463
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6093240001
MEDICARE SUPPLIER NUMBER
CA
Enumeration date
02/14/2008
Last updated
08/28/2012
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