Organization
MAGNOLIA CARE MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DIANA LYNN LOVE (GENERAL MANAGER)
(562) 923-5600
Entity
Organization
Contact information
Practice address
8730 IMPERIAL HWY, DOWNEY, CA 90242-3906
(562) 923-5600
(562) 923-5667
Mailing address
8730 IMPERIAL HWY, DOWNEY, CA 90242-3906
(562) 923-5600
(562) 923-5667
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
49998
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
253172
BUSINESS REGISTRATION
CA
01
—
49998
HOME MEDICAL RETAILER LICENSE
CA
Enumeration date
10/16/2008
Last updated
10/16/2008
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