Organization
SAMMYS MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHUKWUDI N EZEUNALA (PRESIDENT)
(323) 752-3031
Entity
Organization
Contact information
Practice address
1957 W MANCHESTER AVE, LOS ANGELES, CA 90047-2924
(323) 752-3031
(323) 752-3132
Mailing address
1957 W MANCHESTER AVE, LOS ANGELES, CA 90047-2924
(323) 752-3031
(323) 752-3132
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
48523
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
78523
STATE DME LICENSE
CA
05
—
DME03307F
—
CA
Enumeration date
01/22/2008
Last updated
10/22/2008
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