Organization
MEDICAL SUPPLY SUPERSTORE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOWAFFAQ SAADAT (PRESIDENT)
(951) 245-2235
Entity
Organization
Contact information
Practice address
32245 MISSION TRAIL RD, D10, LAKE ELSINORE, CA 92530-4528
(951) 245-2235
(951) 245-6405
Mailing address
32245 MISSION TRAIL RD, D10, LAKE ELSINORE, CA 92530-4528
(951) 245-2235
(951) 245-6405
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DME03023F
MEDICA
CA
Enumeration date
08/28/2006
Last updated
03/07/2011
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