Organization
THE ISGROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN SIMMONS (MEMBER)
(310) 319-0097
Entity
Organization
Contact information
Practice address
1247 LINCOLN BLVD # 221, SANTA MONICA, CA 90401-1700
(310) 319-0097
Mailing address
1247 LINCOLN BLVD # 221, SANTA MONICA, CA 90401-1700
(310) 319-0097
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
199913110063
CA
Other
Enumeration date
06/21/2013
Last updated
06/21/2013
About Stedi
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