Organization
IVY MEDICAL SUPPLY
Active
Parent organization
IVY MEDICAL SUPPLY
Organization subpart
Yes
Provider details
NPI number
Legal business name
IVY MEDICAL SUPPLY
Authorized official
MR. EMMANUEL CHINWE CHIDUEME (OWNER)
(714) 484-9446
Entity
Organization
Contact information
Practice address
1304 S MAGNOLIA AVE, ANAHEIM, CA 92804-5118
(714) 484-9446
(714) 748-4157
Mailing address
1304 S MAGNOLIA AVE, ANAHEIM, CA 92804-5118
(714) 484-9446
(714) 748-4157
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
103722
CA
Other
Enumeration date
11/06/2007
Last updated
11/06/2007
Update your record
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