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Organization

EDC MEDICAL SUPPLY INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDWARD BODE ADEMISOYE (PRESIDENT)
(805) 492-4884
Entity
Organization

Contact information

Practice address
355 E AVENIDA DE LOS ARBOLES, SUITE B, THOUSAND OAKS, CA 91360-2973
(805) 492-4884
(805) 492-4877
Mailing address
355 E AVENIDA DE LOS ARBOLES, SUITE B, THOUSAND OAKS, CA 91360-2973
(805) 492-4884
(805) 492-4877

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
103794
CA

Other

Enumeration date
05/20/2006
Last updated
03/26/2008
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