Organization
180 MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFERY B HENDRIX (CFO)
(405) 443-2985
Entity
Organization
Contact information
Practice address
1283 LINDA VISTA, SAN MARCOS, CA 92078-3831
(760) 752-1479
(888) 718-0633
Mailing address
8516 NW EXPRESSWAY, OKLAHOMA CITY, OK 73162-6010
(877) 688-2729
(888) 718-0633
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
53481
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528204542
—
CA
Enumeration date
12/22/2008
Last updated
05/18/2022
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