Organization
SCIENCE AGE MEDICAL SUPPLIES INC
Active
Other names
Science Age Medical Supplies Inc
Organization subpart
No
Provider details
NPI number
Authorized official
PAULINE N AHUMIBE (PRESIDENT CEO)
(213) 385-6256
Entity
Organization
Contact information
Practice address
3660 WILSHIRE BLVD #924, LOS ANGELES, CA 90010-2705
(213) 385-6256
(213) 385-6182
Mailing address
3660 WILSHIRE BLVD #924, LOS ANGELES, CA 90010-2705
(213) 385-6256
(213) 385-6182
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
SRAS97595651
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME03086F
—
CA
Enumeration date
05/11/2007
Last updated
06/23/2008
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