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Organization

MEDICAL BASE CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JACK WU (CEO)
(626) 582-1670
Entity
Organization

Contact information

Practice address
9519 RUSH ST STE B, SOUTH EL MONTE, CA 91733-1556
(626) 582-1670
(626) 582-1679
Mailing address
9519 E. RUSH ST. UNIT B, SO. EL MONTE, CA 91733
(626) 582-1670
(626) 582-1679

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
08/31/2006
Last updated
08/22/2020
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