Organization
PEARL VENTURES
Active
Other names
PEARL MEDICAL SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OFONIME UKPONG (MANAGER)
(909) 422-8005
Entity
Organization
Contact information
Practice address
1012 E COOLEY DR STE N, COLTON, CA 92324-3949
(909) 422-8005
(909) 824-1080
Mailing address
1012 E COOLEY DR STE N, COLTON, CA 92324-3949
(909) 422-8005
(909) 824-1080
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME02470F
—
CA
Enumeration date
09/29/2006
Last updated
10/07/2019
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