Organization
NILE MEDICAL SUPPLIES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAULOS M AYELE (CEO)
(323) 293-4204
Entity
Organization
Contact information
Practice address
2420 W MARTIN LUTHER KING JR BLVD, LOS ANGELES, CA 90008-2727
(323) 293-4204
(323) 293-2851
Mailing address
2420 W MARTIN LUTHER KING JR BLVD, LOS ANGELES, CA 90008-2727
(323) 293-4204
(323) 293-2851
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
50980
CA
Other
Enumeration date
06/02/2009
Last updated
06/02/2009
Update your record
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