Organization
KINGDOM MEDICAL DISTRIBUTORS SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONATUS BERNARD INYANG RCP (DIRECTOR OF OPERATIONS)
(714) 535-7844
Entity
Organization
Contact information
Practice address
1256 N EUCLID ST, SUITE B, ANAHEIM, CA 92801-1928
(714) 535-7844
(714) 535-7833
Mailing address
1256 N EUCLID ST, SUITE B, ANAHEIM, CA 92801-1928
(714) 535-7844
(714) 535-7833
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
RCP 10503
CA
Other
Enumeration date
07/02/2006
Last updated
08/22/2020
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