Organization
V & J MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MANUEL SALVADOR MEDINA JR. (OWNER)
(323) 947-7547
Entity
Organization
Contact information
Practice address
8330 LONG BEACH BLVD, SUITE 112, SOUTH GATE, CA 90280-2073
(323) 947-7547
(323) 973-1733
Mailing address
8330 LONG BEACH BLVD, SUITE 112, SOUTH GATE, CA 90280-2073
(323) 947-7547
(323) 973-1733
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
06/29/2010
Last updated
06/29/2010
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