Organization
MATRIX HEALTHCARE DISTRIBUTORS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEONORA BROWN (CEO)
(310) 523-4473
Entity
Organization
Contact information
Practice address
1227 W GARDENA BLVD, SUITE B, GARDENA, CA 90247-4865
(310) 523-4473
Mailing address
1227 W GARDENA BLVD, SUITE B, GARDENA, CA 90247-4865
(310) 523-4473
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
17215
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME03239F
—
CA
Enumeration date
01/03/2006
Last updated
09/28/2007
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