Organization
CTR MEDICAL ENTERPRISES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAROLD CLIFTON ROSS (OWNER)
(714) 826-7890
Entity
Organization
Contact information
Practice address
3898 CERRITOS AVE, LOS ALAMITOS, CA 90720-2420
(714) 826-7890
(714) 826-7839
Mailing address
3898 CERRITOS AVE, LOS ALAMITOS, CA 90720-2420
(714) 826-7890
(714) 826-7839
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
54666
CA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
54666
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54666
MEDICAL DEVICE LICENSE
CA
Enumeration date
10/02/2006
Last updated
10/04/2013
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