Organization
MASTER MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAUL ANON (OWNER CEO)
(805) 564-8080
Entity
Organization
Contact information
Practice address
910 E HALEY ST, SANTA BARBARA, CA 93103
(805) 564-8080
(805) 564-8084
Mailing address
PO BOX 41559, SANTA BARBARA, CA 93140
(805) 564-8080
(805) 564-8084
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
132864
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME01467G
—
CA
Enumeration date
10/25/2006
Last updated
07/31/2008
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