Organization
EL MONTE NUTRITIONAL AND MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISHAK N.Z. BISHARA M.D. (OWNER)
(626) 442-5015
Entity
Organization
Contact information
Practice address
2002 DURFEE AVE, EL MONTE, CA 91733-3713
(626) 975-9712
(626) 442-7810
Mailing address
2002 DURFEE AVE, EL MONTE, CA 91733-3713
(626) 975-9712
(626) 442-7810
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/14/2009
Last updated
12/14/2009
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