Organization
PLATINUM STANDARD HOLDINGS INC
Active
Other names
Southland Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY L WERNER (PRESIDENT)
(951) 699-6334
Entity
Organization
Contact information
Practice address
27511 COMMERCE CENTER DR, SUITE C, TEMECULA, CA 92590-2528
(951) 699-6334
(951) 676-7513
Mailing address
27511 COMMERCE CENTER DR, SUITE C, TEMECULA, CA 92590-2528
(951) 699-6334
(951) 676-7513
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
45853
CA
Other
Enumeration date
11/07/2006
Last updated
04/14/2008
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