Organization
A1 MEDICAL EQUIPMENT & SUPPLY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YONATAN YIHDEGO (CEO)
(310) 649-2641
Entity
Organization
Contact information
Practice address
314 E HILLCREST BLVD, INGLEWOOD, CA 90301-2423
(310) 649-2641
(310) 649-5073
Mailing address
314 E HILLCREST BLVD, INGLEWOOD, CA 90301-2423
(310) 649-2641
(310) 649-5073
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
45648
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801828900
—
CA
Enumeration date
07/07/2006
Last updated
06/14/2013
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