Organization
TLC MEDICAL SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YEMANE WOLDEGABRIEL (OWNER)
(323) 880-8104
Entity
Organization
Contact information
Practice address
3312 W FLORENCE AVE STE D, LOS ANGELES, CA 90043-4782
(323) 880-8104
(323) 880-8204
Mailing address
3312 W FLORENCE AVE STE D, LOS ANGELES, CA 90043-4782
(323) 880-8104
(323) 880-8204
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DMEHS3312
DMEHS
CA
Enumeration date
10/13/2018
Last updated
06/29/2021
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