Organization
ADVANCE MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AZHER A HADDAWI (P)
(619) 466-9255
Entity
Organization
Contact information
Practice address
7771 UNIVERSITY AVE, LA MESA, CA 91942-4950
(619) 466-9255
(619) 466-9254
Mailing address
7771 UNIVERSITY AVE, LA MESA, CA 91942-4950
(619) 466-9255
(619) 466-9254
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
52149
CA
Other
Enumeration date
07/28/2006
Last updated
04/10/2012
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