Organization
ANAHEIM MEDICAL SUPPLY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYRNA C. IBALLA (SECRETARY)
(714) 999-6710
Entity
Organization
Contact information
Practice address
1256 N EUCLID ST, ANAHEIM, CA 92801-1928
(714) 999-6710
(714) 999-6712
Mailing address
1256 N EUCLID ST, ANAHEIM, CA 92801-1928
(714) 999-6710
(714) 999-6712
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/13/2008
Last updated
06/13/2008
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