Organization
ALLIANCE MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH BRODHAGEN (PRESIDENT)
(714) 348-6759
Entity
Organization
Contact information
Practice address
12601 SAN FERNANDO RD, SUITE F, SYLMAR, CA 91342-7733
(818) 833-7000
(818) 514-2447
Mailing address
12601 SAN FERNANDO RD, SUITE F, SYLMAR, CA 91342-7733
(818) 833-7000
(818) 514-2447
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
CA
Other
Enumeration date
07/27/2012
Last updated
09/17/2015
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