Organization
PACIFICA MEDICAL SUPPLIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHUMA NWAKO (PRESIDENT)
(310) 630-1600
Entity
Organization
Contact information
Practice address
15238 CRENSHAW BLVD, GARDENA, CA 90249-4049
(310) 630-1600
Mailing address
PO BOX 88121, LOS ANGELES, CA 90009-8121
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/05/2009
Last updated
08/05/2009
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