Organization
CARAVAN MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMILLUS EHIGIE (DIRECTOR)
(310) 215-3641
Entity
Organization
Contact information
Practice address
6167 BRISTOL PKWY STE 335, CULVER CITY, CA 90230-6666
(310) 215-3641
(310) 215-1131
Mailing address
6167 BRISTOL PKWY STE 335, CULVER CITY, CA 90230-6666
(310) 215-3641
(310) 215-1131
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/09/2006
Last updated
08/22/2020
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