Organization
ARISTEO TAVARES
Active
Other names
A & L Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARISTEO TAVARES (OWNER)
(714) 992-4453
Entity
Organization
Contact information
Practice address
3711 N HARBOR BLVD, SUITE B, FULLERTON, CA 92835-1362
(714) 992-4453
(714) 992-5543
Mailing address
3711 N HARBOR BLVD, SUITE B, FULLERTON, CA 92835-1362
(714) 992-4453
(714) 992-5543
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/28/2007
Last updated
01/18/2008
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