Organization
INTERMEDICAL SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLE THI DANG (OWNER)
(626) 731-1270
Entity
Organization
Contact information
Practice address
10148 KLINGERMAN ST, SOUTH EL MONTE, CA 91733-2016
(626) 731-1270
Mailing address
10148 KLINGERMAN ST, SOUTH EL MONTE, CA 91733-2016
(626) 731-1270
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
01/19/2010
Last updated
01/19/2010
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