Organization
UNITED MEDICAL SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RAQUEL A BETH (VICE PRES SECRETARY)
(818) 718-2811
Entity
Organization
Contact information
Practice address
8811 SHIRLEY AVE, NORTHRIDGE, CA 91324
(818) 718-2811
(818) 718-5876
Mailing address
8811 SHIRLEY AVENUE, NORTHRIDGE, CA 91324
(818) 718-2811
(818) 718-5876
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
SRAC97105351
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME02420F
—
CA
Enumeration date
03/23/2006
Last updated
08/22/2020
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