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Organization

MAGNET MEDICAL SUPPLY INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NWANNEKA UCHE AZUBUIKE MBA (PRESIDENT)
(310) 217-1484
Entity
Organization

Contact information

Practice address
14618 CRENSHAW BLVD, GARDENA, CA 90249-3147
(310) 736-7565
(310) 217-1463
Mailing address
14618 CRENSHAW BLVD, GARDENA, CA 90249-3147
(310) 736-7565
(310) 217-1463

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
46164
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
46164
SUPPLIER OF DME
CA
Enumeration date
11/12/2006
Last updated
08/22/2020
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