Organization
SOPHIA'S MEDICAL SUPPLIES CO.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOPHIA L SYVORAVONG (OWNER)
(714) 928-0952
Entity
Organization
Contact information
Practice address
1517 W JUNO AVE, ANAHEIM, CA 92802-1622
(714) 758-9490
(714) 758-9490
Mailing address
1745 W LA PALMA AVE, ANAHEIM, CA 92801-3529
(714) 758-9490
(714) 758-9490
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
CA
Other
Enumeration date
06/25/2006
Last updated
08/22/2020
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