Organization
MEDIA MOGUL,INC
Active
Organization
MEDIA MOGUL,INC
Active
Parent organization
MEDIA MOGUL,INC
Other names
Magic MANGOSTEEN
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDIA MOGUL,INC
Authorized official
MR. RAY DU BOC ALI DIRECTOR (DIRECTOR / PRESIDENT)
(323) 375-9973
Entity
Organization
Contact information
Practice address
1223 W 127TH ST, LOS ANGELES, CA 90044-1021
(323) 375-9973
Mailing address
9029 AIRPORT BLVD, 88844, LOS ANGELES, CA 90009-4801
(323) 375-9973
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
Other
Enumeration date
03/23/2009
Last updated
03/23/2009
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