Organization
ODYSSEY MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUGUSTA O. AWANYAI (PRESIDENT)
(310) 676-2142
Entity
Organization
Contact information
Practice address
14623 HAWTHORNE BLVD, SUITE 106, LAWNDALE, CA 90260-1581
(310) 676-2142
(310) 676-2143
Mailing address
14623 HAWTHORNE BLVD, SUITE 106, LAWNDALE, CA 90260-1581
(310) 676-2142
(310) 676-2143
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
102144
CA
Other
Enumeration date
08/21/2007
Last updated
03/12/2008
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