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Organization

SANDY MEDICAL SUPPLY, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RITH S (OFFICE MANAGER)
(562) 218-7784
Entity
Organization

Contact information

Practice address
916 E PACIFIC COAST HWY, LONG BEACH, CA 90806-5626
(562) 218-7784
(562) 218-7686
Mailing address
916 E PACIFIC COAST HWY, LONG BEACH, CA 90806-5626
(562) 218-7784
(562) 218-7686

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
DME03094F
CA
Enumeration date
11/07/2006
Last updated
12/14/2007
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