Organization
MEDPAC MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GIDEON NWANISIOBI (PRESIDENT)
(310) 676-1400
Entity
Organization
Contact information
Practice address
14623 HAWTHORNE BLVD STE 308, LAWNDALE, CA 90260-1590
(310) 676-1400
Mailing address
14623 HAWTHORNE BLVD STE 308, LAWNDALE, CA 90260-1590
(310) 676-1400
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
52010
CA
Other
Enumeration date
06/06/2009
Last updated
05/17/2010
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