Organization
DIABETIC MEDIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD GREEN (CEO)
(760) 641-6571
Entity
Organization
Contact information
Practice address
20944 SHERMAN WAY STE 206A, CANOGA PARK, CA 91303-3631
(747) 900-4292
Mailing address
20944 SHERMAN WAY STE 115, CANOGA PARK, CA 91303-3632
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/18/2017
Last updated
02/13/2020
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