Organization
NILE MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULOS AYELE (OWNER)
(323) 293-4204
Entity
Organization
Contact information
Practice address
2420 W MARTIN LUTHER KING JR BLVD, LOS ANGELES, CA 90008-2727
(323) 293-4204
(323) 293-2851
Mailing address
2420 W MARTIN LUTHER KING JR BLVD, LOS ANGELES, CA 90008-2727
(323) 293-4204
(323) 293-2851
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/06/2006
Last updated
06/16/2008
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