Organization
ASENETE MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UBEN O RUSH (CEO)
(562) 630-4789
Entity
Organization
Contact information
Practice address
16444 PARAMOUNT BLVD, SUITE 205, PARAMOUNT, CA 90723-5422
(562) 630-4789
(562) 630-6179
Mailing address
PO BOX 2343, GARDENA, CA 90247-0343
(562) 630-4789
(562) 630-6179
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
332B00000X
—
Other
Enumeration date
11/21/2005
Last updated
08/22/2020
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