Organization
EAST ATLANTIC ENTERPRISES
Active
Other names
Cardinal Medical Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADENUGA OKUNUGA (PROPRIETOR)
(562) 537-0255
Entity
Organization
Contact information
Practice address
275 E MARKET ST, LONG BEACH, CA 90805-5909
(562) 984-5522
(562) 984-5533
Mailing address
275 E MARKET ST, LONG BEACH, CA 90805-5909
(562) 984-5522
(562) 984-5533
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
103085
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME03155F
—
CA
Enumeration date
09/30/2006
Last updated
08/22/2020
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