Organization
FAB MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FREHIWOT SELETENE (PRESIDENT)
(310) 642-0703
Entity
Organization
Contact information
Practice address
5250 W CENTURY BLVD STE 504, LOS ANGELES, CA 90045-5942
(310) 642-0703
(310) 642-0789
Mailing address
5250 W CENTURY BLVD STE 504, LOS ANGELES, CA 90045-5942
(310) 642-0703
(310) 642-0789
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/16/2009
Last updated
11/04/2010
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