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Organization

1ST MEDICAL SUPPLY

Active
Parent organization
1ST MEDICAL SUPPLY
Organization subpart
Yes

Provider details

NPI number
Legal business name
1ST MEDICAL SUPPLY
Authorized official
TATYANA V WHITE (OWNER/PRESIDENT)
(866) 737-9397
Entity
Organization

Contact information

Practice address
12639 HOOVER ST, GARDEN GROVE, CA 92841-4172
(866) 737-9397
(866) 229-1060
Mailing address
12639 HOOVER ST, GARDEN GROVE, CA 92841-4172
(866) 737-9397
(866) 229-1060

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
S12302
BOC
CA
Enumeration date
03/29/2010
Last updated
03/05/2015
About Stedi
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