Organization
LIFE FORCE DME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAVIER HERRERA JR. (C.E.O)
(619) 250-1703
Entity
Organization
Contact information
Practice address
511 E SAN YSIDRO BLVD # 6128, SAN YSIDRO, CA 92173-3150
(619) 250-1703
Mailing address
511 E SAN YSIDRO BLVD # 6128, SAN YSIDRO, CA 92173-3150
(619) 250-1703
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
070094
CA
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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