Organization
BERNARD S GIBESON
Active
Other names
CONQUEST MEDICAL SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BERNARD S GIBESON (OWNER)
(310) 630-5885
Entity
Organization
Contact information
Practice address
1900 W REDONDO BEACH BLVD, GARDENA, CA 90247-3624
(310) 630-5885
(310) 630-0189
Mailing address
1900 W REDONDO BEACH BLVD, GARDENA, CA 90247-3624
(310) 630-5885
(310) 630-0189
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1317830001
CA
Other
Enumeration date
05/23/2007
Last updated
06/20/2008
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