Organization
ALL-CARE MEDICAL SUPPLY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA DAVIS (ADMINISTRATOR)
(323) 750-7800
Entity
Organization
Contact information
Practice address
8937 S WESTERN AVE, LOS ANGELES, CA 90047-3549
(323) 750-7800
Mailing address
8937 S WESTERN AVE, LOS ANGELES, CA 90047-3549
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ50931Z
BLUE SHIELD OF CA
CA
Enumeration date
09/02/2006
Last updated
06/18/2008
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