Organization
PRUDENT MEDICAL SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCK MENGISTU (PRESIDENT)
(424) 331-5400
Entity
Organization
Contact information
Practice address
5250 W CENTURY BLVD, SUITE 216, LOS ANGELES, CA 90045-5972
(424) 331-5400
(424) 331-5933
Mailing address
5250 W CENTURY BLVD, SUITE 216, LOS ANGELES, CA 90045-5972
(424) 331-5400
(424) 331-5933
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
74463
CA
Other
Enumeration date
10/07/2015
Last updated
04/19/2017
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