Organization
ETHOS MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIANN VALENZUELA (CEO)
(949) 354-3458
Entity
Organization
Contact information
Practice address
185 PAULARINO AVE STE C107, COSTA MESA, CA 92626-3330
(949) 354-3458
Mailing address
185 PAULARINO AVE STE C107, COSTA MESA, CA 92626-3330
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/05/2022
Last updated
05/31/2023
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