Organization
AMERICAN SURGICAL MEDICAL SUPPLY INC
Active
Parent organization
AMERICAN SURGICAL MEDICAL SUPPLY INC
Other names
American Surgical Medical Supply Tustin
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMERICAN SURGICAL MEDICAL SUPPLY INC
Authorized official
MR. ALLEN LAFAYETTE NEWSOME JR. (PRESIDENT)
(760) 599-8800
Entity
Organization
Contact information
Practice address
17581 IRVINE BLVD STE 116, TUSTIN, CA 92780-3123
(888) 501-7751
(909) 366-5908
Mailing address
6965 EL CAMINO REAL STE 105-253, CARLSBAD, CA 92009-4100
(760) 845-7032
(909) 366-5988
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
07/10/2020
Last updated
07/10/2020
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