Organization
AMBS SUPPLIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD JOHN PANCONI (PRESIDENT)
(626) 792-4700
Entity
Organization
Contact information
Practice address
141 S LAKE AVE # 104, PASADENA, CA 91101-2673
(626) 792-4700
Mailing address
141 S. LAKE AVE., #104, PASADENA, CA 91101
(626) 792-4700
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/19/2009
Last updated
07/26/2010
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