Organization
ALPHA OMEGA MEDICAL SUPPLY,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EDEN G GEBERSELASSIE (PRESIDENT)
(310) 670-5890
Entity
Organization
Contact information
Practice address
1626 CENTINELA AVE, SUITE 1, INGLEWOOD, CA 90302-1047
(310) 670-5890
(310) 670-3588
Mailing address
1626 CENTINELA AVE, SUITE 1, INGLEWOOD, CA 90302-1047
(310) 670-5890
(310) 670-3588
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
102992
CA
Other
Enumeration date
08/31/2006
Last updated
04/02/2008
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