Organization
FENDIH MEDICAL SUPPLIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA ONYEABOR (PRESIDENT)
(909) 387-0853
Entity
Organization
Contact information
Practice address
416 N H ST, SUITE 5, SAN BERNARDINO, CA 92410-3258
(909) 387-0853
(909) 885-6261
Mailing address
416 N H ST, SUITE 5, SAN BERNARDINO, CA 92410-3258
(909) 387-0853
(909) 885-6261
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
44823
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME03417F
—
CA
Enumeration date
03/13/2007
Last updated
11/05/2007
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