Organization
BARBARA JEAN CRAIGEN
Active
Other names
Monshar Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA JEAN CRAIGEN (OWNER)
(323) 737-3629
Entity
Organization
Contact information
Practice address
3006 S NORTON AVE, LOS ANGELES, CA 90018-3238
(323) 737-3629
(323) 737-3710
Mailing address
3006 S NORTON AVE, LOS ANGELES, CA 90018-3238
(323) 737-3629
(323) 737-3710
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
103410
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4290230001
PROVIDER ID NUMBER
CA
Enumeration date
03/20/2006
Last updated
07/15/2008
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