Organization
IMARS MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AUSTIN B. EZENWA (CEO)
(323) 750-8815
Entity
Organization
Contact information
Practice address
8225 S NORMANDIE AVE, SUITE C, LOS ANGELES, CA 90044-2335
(323) 750-8815
(323) 750-8818
Mailing address
8225 S NORMANDIE AVE, SUITE C, LOS ANGELES, CA 90044-2335
(323) 750-8815
(323) 750-8818
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
103186
CA
Other
Enumeration date
02/12/2007
Last updated
08/22/2020
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