Organization
ACTIVE MEDICAL EQUIPMENT & SUPPLIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALULA BEKELE BERHANE (OWNER/PARTNER)
(310) 714-9667
Entity
Organization
Contact information
Practice address
1704 W MANCHESTER AVE, SUITE 204D, LOS ANGELES, CA 90047-3034
(323) 758-7550
(323) 758-5550
Mailing address
1704 W MANCHESTER AVE, SUITE 204D, LOS ANGELES, CA 90047-3034
(323) 758-7550
(323) 758-5550
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
103338
CA
Other
Enumeration date
07/15/2006
Last updated
07/21/2022
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