Organization
ADVANCED BUSINESS ENTERPRISE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VICTOR ASEMOTA (PRESIDENT OF OPERATION)
(626) 653-0663
Entity
Organization
Contact information
Practice address
515 N AZUSA AVE, COVINA, CA 91722-3502
(626) 653-0663
Mailing address
515 N AZUSA AVE, COVINA, CA 91722-3502
(626) 653-0663
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
332BC3200X
CA
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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