Organization
PACIFIC MEDEDGE INC
Active
Other names
pacific mededge medical services # supplies
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAMID SHIWOKU (OPERATIONS MANAGER)
(310) 532-6247
Entity
Organization
Contact information
Practice address
18311 S.WESTERN AVENUE, TORRANCE, CA 90248
(310) 532-6247
(310) 532-6841
Mailing address
18311 S.WESTERN AVENUE, TORRANCE, CA 90248
(310) 532-6247
(310) 532-6841
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
103809
CA
Other
Enumeration date
06/20/2006
Last updated
07/21/2022
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