Organization
AMMA MEDICAL SUPPLY AND EQUIPMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELVIN BELUSO MARTE (PRESIDENT)
(951) 656-7209
Entity
Organization
Contact information
Practice address
23932 ALESSANDRO BLVD STE E, MORENO VALLEY, CA 92553-8808
(951) 656-7209
(951) 656-7239
Mailing address
23932 ALESSANDRO BLVD STE E, MORENO VALLEY, CA 92553-8808
(951) 656-7209
(951) 656-7239
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
09152
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME02761G
—
CA
Enumeration date
03/27/2007
Last updated
08/22/2020
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