Organization
OBERLIN MEDICAL SUPPLY & SERVICE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAHER D IDRISS (PRESIDENT)
(858) 450-6675
Entity
Organization
Contact information
Practice address
9883 PACIFIC HEIGHTS BLVD STE B, SAN DIEGO, CA 92121-4709
(858) 450-6675
(858) 450-6673
Mailing address
9883 PACIFIC HEIGHTS BLVD STE B, SAN DIEGO, CA 92121-4709
(858) 450-6675
(858) 450-6673
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
WLS 3600
CA
Other
Enumeration date
12/06/2007
Last updated
08/19/2008
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