Organization
WISHING WELL PRODUCTS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD THOMAS ALBRECHT (VICE PRESIDENT)
(310) 829-1777
Entity
Organization
Contact information
Practice address
2314 SANTA MONICA BLVD., SANTA MONICA, CA 90404
(310) 829-1777
(310) 829-2799
Mailing address
2314 SANTA MONICA BLVD., SANTA MONICA, CA 90404
(310) 829-1777
(310) 829-2799
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ74779Z
—
CA
Enumeration date
08/16/2006
Last updated
08/22/2020
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