Organization
CORDELIA EZE
Active
Other names
UJ Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MISS OBIANUJU CORDELIA EZE (OWNER)
(310) 603-0512
Entity
Organization
Contact information
Practice address
1315 N BULLIS RD, SUITE 12 E-F, COMPTON, CA 90221-1650
(310) 603-0512
(310) 603-0512
Mailing address
1315 N BULLIS RD, SUITE 12 E-F, COMPTON, CA 90221-1650
(310) 603-0512
(310) 603-0512
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
45058
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45058
INSTATE DMEPOS
CA
Enumeration date
08/30/2006
Last updated
12/01/2008
Update your record
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