Organization
ASA GROUP OF COMPANIES INC
Active
Other names
ASA MEDICAL SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SYLVESTER ANIAGOLU ANI (PRESIDENT/CEO)
(562) 920-3400
Entity
Organization
Contact information
Practice address
17817 CLARK AVE, BELLFLOWER, CA 90706-6504
(562) 920-3400
(562) 920-3414
Mailing address
17817 CLARK AVE, BELLFLOWER, CA 90706-6504
(562) 920-3400
(562) 920-3414
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
103763
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103763
HOME MEDICAL DEVICE RETAI
CA
01
—
5377320001
NSC NUMBER
—
Enumeration date
12/06/2005
Last updated
08/22/2020
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