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Organization

CHAMPION MEDICAL EQUIPMENT AND SUPPLIES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. VERONICA RAMIA (CONTROLLER)
(818) 701-1273
Entity
Organization

Contact information

Practice address
19434 LONDELIUS STREET, SUITE C, NORTHRIDGE, CA 91324
(818) 701-1273
(818) 701-1289
Mailing address
19434 LONDELIUS STREET, SUITE C, NORTHRIDGE, CA 91324
(818) 701-1273
(818) 701-1289

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0002225006-0001-5
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2225006-0001-5
CITY OF LOS ANGELES
CA
01
2966616
CORPORATION
CA
Enumeration date
05/04/2007
Last updated
08/22/2020
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