Organization
A.K. DIRECT MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALONZO DOBSON (SECRETARY/TREASURER)
(310) 329-1426
Entity
Organization
Contact information
Practice address
14121 S WESTERN AVE, GARDENA, CA 90249-3009
(310) 329-1426
(323) 325-3557
Mailing address
14121 S WESTERN AVE, GARDENA, CA 90249-3009
(310) 329-1426
(323) 325-3557
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
51396
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51396
CA HMDR
CA
Enumeration date
06/23/2009
Last updated
10/02/2009
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