Organization
ENROMA MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORMA A REYES (MANAGING DIRECTOR)
(310) 677-1377
Entity
Organization
Contact information
Practice address
4076 W CENTURY BLVD, INGLEWOOD, CA 90304-1622
(310) 677-1377
(310) 677-6607
Mailing address
4076 W CENTURY BLVD, INGLEWOOD, CA 90304-1622
(310) 677-1377
(310) 677-6607
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
46985
CA
Other
Enumeration date
07/31/2007
Last updated
02/22/2008
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