Organization
SOUTHLAND MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAREK RAYYAN (TREASURER)
(951) 699-6334
Entity
Organization
Contact information
Practice address
27511 COMMERCE CENTER DR, STE C, TEMECULA, CA 92590-2528
(951) 699-6334
Mailing address
27511 COMMERCE CENTER DR, STE C, TEMECULA, CA 92590-2528
(951) 699-6334
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
52671
CA
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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