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Organization

COLE MEDICAL, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID L NICOLAS (DIRECTOR)
(323) 932-9352
Entity
Organization

Contact information

Practice address
720 W BROADWAY, GLENDALE, CA 91204-1010
(323) 932-9352
Mailing address
PO BOX 67545, LOS ANGELES, CA 90067-0545
(323) 932-9352

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
56787
CA

Other

Enumeration date
01/23/2012
Last updated
01/23/2012
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