Organization
JM MEDICAL SUPPLIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN O'BRIEN (PRESIDENT)
(909) 608-1779
Entity
Organization
Contact information
Practice address
8900 BENSON AVE, STE. L, MONTCLAIR, CA 91763-1669
(909) 608-1779
Mailing address
8900 BENSON AVE, STE. L, MONTCLAIR, CA 91763-1669
(909) 608-1779
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0885210001
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME02182F
—
CA
Enumeration date
04/17/2006
Last updated
08/22/2020
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