Organization
AXIAL MEDICAL SUPPLY INC.
Active
Other names
Axial Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EBOW ADDAE-MENSAH (PRESIDENT)
(619) 479-7089
Entity
Organization
Contact information
Practice address
9565 JAMACHA BLVD, SPRING VALLEY, CA 91977-5139
(619) 479-7089
(619) 479-7096
Mailing address
9565 JAMACHA BLVD, SPRING VALLEY, CA 91977-5139
(619) 479-7089
(619) 479-7096
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
332B00000X
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103541
HOME MEDICAL DEVICE
CA
Enumeration date
09/07/2006
Last updated
08/22/2020
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