Organization
CONFIDENCE FIRST MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALICE F BARTON (PRESIDENT)
(310) 330-7636
Entity
Organization
Contact information
Practice address
316 E MANCHESTER BLVD, INGLEWOOD, CA 90301-1815
(310) 330-7636
(310) 330-7635
Mailing address
5811 HOLT AVE, LOS ANGELES, CA 90056-1411
(310) 670-9670
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CGP163747
CCS
CA
05
—
DME02579F
—
CA
01
—
ZZZ66603Z
BL SHIELD TRICARE
—
Enumeration date
08/09/2006
Last updated
08/22/2020
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