Organization
CHRISTO MEDICAL DISTRIBUTOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER NGOCHO TEFORLACK PT (CEO)
(213) 300-2435
Entity
Organization
Contact information
Practice address
407 N AVALON BLVD, WILMINGTON, CA 90744-5803
(213) 300-2435
Mailing address
407 N AVALON BLVD, WILMINGTON, CA 90744-5803
(213) 300-2435
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
CA
Other
Enumeration date
05/07/2012
Last updated
05/07/2012
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