Organization
INTERACTIVE MEDICAL SYSTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNETTE POWELL (MANAGER)
(714) 894-5029
Entity
Organization
Contact information
Practice address
10111 S TACOMA WAY, STE D-2, LAKEWOOD, WA 98499-4666
(714) 894-5029
(310) 227-8229
Mailing address
12882 VALLEY VIEW ST, STE 9, GARDEN GROVE, CA 92845-2519
(714) 894-5029
(310) 227-8229
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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