Organization
LEMONGO MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC LEMONGO (OWNER)
(310) 672-8782
Entity
Organization
Contact information
Practice address
111 N LA BREA AVE, STE 601, INGLEWOOD, CA 90301-1752
(310) 672-8782
Mailing address
111 N LA BREA AVE, STE 601, INGLEWOOD, CA 90301-1752
(310) 672-8782
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
47429
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47429
HMDR
CA
Enumeration date
08/28/2007
Last updated
06/11/2008
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