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NPI Code Detail

MEDICARE: JOSMEK MEDICAL SUPPLY AND ASSOCIATES

MEDICARE: JOSMEK MEDICAL SUPPLY AND ASSOCIATES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332BX2000XOxygen Equipment & Supplies (DME)103434CA

General Provider Information

NPI Number : 1932128972
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOSMEK MEDICAL SUPPLY AND ASSOCIATES
Provider Business Mailing Address
First Line : 11612 HAWTHORNE BLVD
Second Line : SUITE 104
City : HAWTHORNE
State : CA
Zip : 90250-2316
Country : US
Telephone Number : 310-679-2791
Fax Number : 310-679-2782
Provider Business Practice Location Address
First Line : 11612 HAWTHORNE BLVD
Second Line : SUITE 104
City : HAWTHORNE
State : CA
Zip : 90250-2316
Country : US
Telephone Number : 310-679-2791
Fax Number : 310-679-2782
Authorized Official
Title or Position : PRESIDENT
Name : EMEKA N/A MADUAKO
Credential :
Telephone Number : 310-679-2761
Provider Enumeration Date : 07/19/2006
Last Update Date : 08/22/2020

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Directions to “JOSMEK MEDICAL SUPPLY AND ASSOCIATES ” Practice Location

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