Organization
BENNIEMAX MEDICAL SUPPLY CO.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BETHRAM OGOKE (OWNER)
(213) 413-8508
Entity
Organization
Contact information
Practice address
1644 WILSHIRE BLVD, SUITE 105, LOS ANGELES, CA 90017-1600
(213) 413-8508
(213) 413-8509
Mailing address
1644 WILSHIRE BLVD, SUITE 105, LOS ANGELES, CA 90017-1600
(213) 413-8508
(213) 413-8509
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
3852080001
CA
Other
Enumeration date
06/18/2006
Last updated
07/09/2008
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