Individual
MIKE CHARLES SIM JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12201 VALLEY BLVD, EL MONTE, CA 91732-3107
(626) 350-9922
(626) 350-9923
Mailing address
12201 VALLEY BLVD, EL MONTE, CA 91732-3107
(626) 350-9922
(626) 350-9923
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
95770
CA
Other
Enumeration date
05/25/2017
Last updated
07/21/2022
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