Organization
NEWPORT MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAM U. LEE (GENERAL MANAGER)
(714) 328-3167
Entity
Organization
Contact information
Practice address
3414 W BALL RD STE D, ANAHEIM, CA 92804-3726
(714) 328-3167
(714) 316-1321
Mailing address
PO BOX 3338, FULLERTON, CA 92834-3338
(714) 328-3167
(714) 316-1321
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
50773
CA
Other
Enumeration date
02/04/2009
Last updated
02/04/2009
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