Organization
NEW LIFE MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAN IK JANG (PRESIDENT)
(562) 924-7788
Entity
Organization
Contact information
Practice address
11823 ARTESIA BL, ARTESIA, CA 90701
(562) 924-7788
(562) 924-0737
Mailing address
11823 ARTESIA BL, ARTESIA, CA 90701
(562) 924-7788
(562) 924-0737
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1187540001
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME02406F
—
CA
Enumeration date
08/25/2006
Last updated
08/22/2020
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