Organization
JONES A OKEKE
Active
Other names
VISTA MEDICAL SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONES ANNY OKEKE (DIRECTOR)
(323) 954-9820
Entity
Organization
Contact information
Practice address
5017 SAN VICENTE BLVD, LOS ANGELES, CA 90019-2955
(323) 954-9820
(323) 954-7995
Mailing address
5017 SAN VICENTE BLVD, LOS ANGELES, CA 90019-2955
(323) 954-9820
(323) 954-7995
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
44381
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44381
HMDR
CA
Enumeration date
08/22/2006
Last updated
06/25/2008
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