Organization
MEDVANTAGE ORTHOCARE, LLC
Active
Other names
Medvantage DME
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK IOELE (CEO)
(562) 233-6781
Entity
Organization
Contact information
Practice address
11643 TELEGRAPH RD, SANTA FE SPRINGS, CA 90670-3656
(562) 233-6781
(562) 941-4767
Mailing address
11643 TELEGRAPH RD, SANTA FE SPRINGS, CA 90670-3656
(562) 233-6781
(562) 941-4767
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/23/2019
Last updated
11/18/2019
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