Organization
OMEGA INTERNATION MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH IBITORU OKETOLA DME (OWNER)
(909) 350-9700
Entity
Organization
Contact information
Practice address
16756 FOOTHILL BLVD, FONTANA, CA 92335-8405
(909) 350-9700
(909) 350-7340
Mailing address
16756 FOOTHILL BLVD, FONTANA, CA 92335-8405
(909) 350-9700
(909) 350-7340
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
4999360001
CA
Other
Enumeration date
08/30/2006
Last updated
08/01/2008
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