Organization
EXSPRESS MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYLVESTER ISONG (PRESIDENT)
(323) 933-5997
Entity
Organization
Contact information
Practice address
4221 WILSHIRE BLVD, SUITE 29019, LOS ANGELES, CA 90010-3512
(323) 933-5997
(323) 933-6435
Mailing address
4221 WILSHIRE BLVD, SUITE 29019, LOS ANGELES, CA 90010-3512
(323) 933-5997
(323) 933-6435
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
103342
CA
Other
Enumeration date
10/23/2007
Last updated
10/23/2007
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