Organization
MEDICAL LOGISTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MORTON (PRESIDENT)
(909) 949-7430
Entity
Organization
Contact information
Practice address
1252 MONTE VISTA AVE, SUITE 2, UPLAND, CA 91786-8214
(909) 949-7430
(909) 949-7907
Mailing address
1252 MONTE VISTA AVE, SUITE 2, UPLAND, CA 91786-8214
(909) 949-7430
(909) 949-7907
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
103832
CA
Other
Enumeration date
10/09/2006
Last updated
08/22/2020
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