Organization
GALLANT MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YOUNG DENNIS AHN (CEO)
(951) 672-4965
Entity
Organization
Contact information
Practice address
162 N SAN JACINTO ST, HEMET, CA 92543-4450
(951) 658-2505
(951) 658-2460
Mailing address
27740 ENCANTO DR, SUN CITY, CA 92586-4521
(951) 672-4965
(951) 672-4966
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
PENDING
CA
Other
Enumeration date
01/24/2007
Last updated
08/22/2020
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