Organization
ST. JOHN'S DME INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN BASSEY IKPEME (CEO)
(310) 672-6657
Entity
Organization
Contact information
Practice address
305 E HILLCREST BLVD, INGLEWOOD, CA 90301-2405
(310) 672-6657
(310) 671-2870
Mailing address
305 E HILLCREST BLVD, INGLEWOOD, CA 90301-2405
(310) 672-6657
(310) 671-2870
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
103708
CA
Other
Enumeration date
01/23/2008
Last updated
01/23/2008
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