Organization
ALFRED KPEKPE
Active
Other names
Devine Healthcare & Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALFRED KPEKPE (OWNER)
(323) 777-2797
Entity
Organization
Contact information
Practice address
1807 W 108TH ST, LOS ANGELES, CA 90047-4417
(323) 777-2797
(323) 777-2754
Mailing address
1807 W 108TH STREET, LOS ANGELES, CA 90047-4417
(323) 777-2797
(323) 777-2754
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME03383F
—
CA
Enumeration date
02/23/2006
Last updated
06/17/2008
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