Organization
LIBERTY MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATNAEL TASSEW (GENERAL PARTNER)
(714) 940-9950
Entity
Organization
Contact information
Practice address
2050 W CHAPMAN AVE, SUITE 181, ORANGE, CA 92868-2647
(714) 940-9950
(714) 940-0176
Mailing address
2050 W CHAPMAN AVE, SUITE 181, ORANGE, CA 92868-2647
(714) 940-9950
(714) 940-0176
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
48297
CA
Other
Enumeration date
02/26/2008
Last updated
03/05/2009
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