Organization
WAM INTERNATIONAL CORPORATION
Active
Other names
WAM MEDICAL SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADEGOKE M MOHAMMED (PRESIDENT)
(818) 992-9208
Entity
Organization
Contact information
Practice address
20501 VENTURA BLVD, SUITE 315, WOODLAND HILLS, CA 91364
(818) 992-9208
(818) 992-9209
Mailing address
20501 VENTURA BLVD, SUITE 315, WOODLAND HILLS, CA 91364
(818) 992-9208
(818) 992-9209
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101-111658
RESELLER PERMIT
CA
Enumeration date
10/08/2008
Last updated
10/08/2008
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