Organization
DIVERSIFIED MEDICAL EQUIPMENT & SUPPLIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADRIAN IOJA (GENERAL MANAGER)
(714) 657-7610
Entity
Organization
Contact information
Practice address
15472 CHEMICAL LN, HUNTINGTON BEACH, CA 92649-1220
(714) 657-7610
(714) 657-7614
Mailing address
15472 CHEMICAL LN, HUNTINGTON BEACH, CA 92649-1220
(714) 657-7610
(714) 657-7614
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME01982F
—
CA
Enumeration date
02/22/2006
Last updated
06/10/2009
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