Organization
CORE MEDIA SOLUTIONS
Active
Other names
Blue Sparrow Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BAPI S MOHANTY (PRESIDENT)
(714) 772-1203
Entity
Organization
Contact information
Practice address
2221 E WINSTON RD, SUITE D, ANAHEIM, CA 92806-5540
(714) 772-1203
(714) 772-1213
Mailing address
2221 E WINSTON RD, SUITE D, ANAHEIM, CA 92806-5540
(714) 772-1203
(714) 772-1213
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/08/2007
Last updated
08/08/2008
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