Organization
TRIPPLE O EVERGREEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OGBAN O OGBU OWNER (CEO)
(310) 965-9039
Entity
Organization
Contact information
Practice address
17420 AVALON BLVD, 207, CARSON, CA 90746-1564
(310) 965-9039
(310) 965-9099
Mailing address
17420 AVALON BLVD, 207, CARSON, CA 90746-1564
(310) 965-9039
(310) 965-9099
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/16/2006
Last updated
08/22/2020
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