Organization
AGP MEDICAL CORPORATION
Active
Other names
Advantage 1 Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. VERRETTA DEOROSAN M.D. (OWNER)
(562) 492-5994
Entity
Organization
Contact information
Practice address
848 W 115TH ST, LOS ANGELES, CA 90044-4112
(562) 492-5994
Mailing address
169 E 36TH ST, LONG BEACH, CA 90807-3852
(562) 492-5994
(310) 649-1404
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/23/2007
Last updated
08/22/2020
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