Organization
ADVANCED HOME CARE MED SUPP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRANCE AFAHA (PRESIDENT COO)
(714) 628-9516
Entity
Organization
Contact information
Practice address
475 N TUSTIN AVE, ORANGE, CA 92867-7778
(714) 628-9516
(714) 628-9764
Mailing address
475 N TUSTIN AVE, ORANGE, CA 92867-7778
(714) 628-9516
(714) 628-9764
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/20/2006
Last updated
08/22/2020
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