Organization
WESTERN IMPERIAL MEDICAL DISTRIBUTORS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YAKUBU DAMAKO (OWNER)
(323) 755-0148
Entity
Organization
Contact information
Practice address
2930 W IMPERIAL HWY, SUITE 200Q, INGLEWOOD, CA 90303-3143
(323) 755-0148
(323) 755-5555
Mailing address
2930 WEST IMPERIAL HWY, SUITE 200Q, INGLEWOOD, CA 90303
(323) 755-0148
(323) 755-5555
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
4270040001
CA
Other
Enumeration date
06/26/2006
Last updated
08/22/2020
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