Organization
ADVANCE MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA TERESA MEJIA (OWNER)
(951) 653-9710
Entity
Organization
Contact information
Practice address
22810 ALESSANDRO BLVD, SUITE A, MORENO VALLEY, CA 92553-8549
(951) 653-9710
(951) 653-9719
Mailing address
22810 ALESSANDRO BLVD, SUITE A, MORENO VALLEY, CA 92553-8549
(951) 653-9710
(951) 653-9719
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
17439
CA
Other
Enumeration date
01/04/2007
Last updated
08/22/2020
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