Organization
OC EXCLUSIVE MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAJINI KANCHANA LAURENSU HEWAGE (OWNER)
(424) 367-8201
Entity
Organization
Contact information
Practice address
29224 GLASGOW, LAKE ELSINORE, CA 92530-4791
(424) 367-8201
Mailing address
29224 GLASGOW, LAKE ELSINORE, CA 92530-4791
(424) 367-8201
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/15/2025
Last updated
05/17/2025
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