Organization
BLUE SPARROW CORPORATION
Active
Other names
Core Media Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BAPI S MOHANTY (CEO)
(714) 772-1203
Entity
Organization
Contact information
Practice address
1475 S STATE COLLEGE BLVD, SUITE 222, ANAHEIM, CA 92806-5701
(714) 772-1203
(714) 772-1213
Mailing address
1475 S STATE COLLEGE BLVD, SUITE 222, ANAHEIM, CA 92806-5701
(714) 772-1203
(714) 772-1213
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
CA
Other
Enumeration date
01/09/2008
Last updated
01/09/2008
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