Organization
JC MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMALYA CHERNIAVSKY (OWNER)
(562) 432-5685
Entity
Organization
Contact information
Practice address
1066 ATLANTIC AVE STE M, LONG BEACH, CA 90813-3401
(562) 432-5685
(562) 432-5827
Mailing address
1066 ATLANTIC AVE STE M, LONG BEACH, CA 90813-3401
(562) 432-5685
(562) 432-5827
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
103332
CA
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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