Organization
REGAL MEDICAL SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAIBU ONOGIMESIKE OBAKHUME (PRESIDENT)
(323) 298-4733
Entity
Organization
Contact information
Practice address
4336 11TH AVE, LOS ANGELES, CA 90008-5205
(323) 298-4733
(323) 298-4744
Mailing address
PO BOX 431184, LOS ANGELES, CA 90043-9184
(323) 298-4733
(323) 298-4744
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
45166
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45166
HMDR LICENSE
CA
Enumeration date
08/31/2006
Last updated
12/09/2010
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