Organization
GAMBURD INC
Active
Other names
American Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISRAEL GAMBURD (PRESIDENT)
(818) 834-2792
Entity
Organization
Contact information
Practice address
12420 MONTAGUE ST, SUITE D, PACOIMA, CA 91331-2141
(818) 834-2792
(323) 417-3700
Mailing address
12420 MONTAGUE ST, SUITE D, PACOIMA, CA 91331-2141
(818) 834-2792
(323) 417-3700
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
49347
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME03241F
—
CA
Enumeration date
04/07/2006
Last updated
12/03/2008
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