Organization
B&B SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BORIS BOYCHENKO (OWNER)
(310) 331-1500
Entity
Organization
Contact information
Practice address
14129 CRENSHAW BLVD, HAWTHORNE, CA 90250-7817
(310) 331-1500
(310) 331-1515
Mailing address
14129 CRENSHAW BLVD, HAWTHORNE, CA 90250-7817
(310) 331-1500
(310) 331-1515
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/17/2010
Last updated
03/09/2012
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