Organization
CLARENCE M. HYSHAW/MID-CITY ORTHO & NEURO SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENON D MCKINNEY (MANAGER)
(310) 669-9806
Entity
Organization
Contact information
Practice address
3622 MARTIN LUTHER KING JR BLVD, SUITE A, LYNWOOD, CA 90262-2607
(310) 669-9806
(310) 669-9804
Mailing address
3622 MARTIN LUTHER KING JR BLVD, SUITE A, LYNWOOD, CA 90262-2607
(310) 669-9806
(310) 669-9804
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2531
CA
Other
Enumeration date
08/23/2006
Last updated
07/07/2008
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