Healthcare Provider Details

I. General information

NPI: 1558265272
Provider Name (Legal Business Name): AA MEDICAL SUPPLY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 E FOOTHILL BLVD
AZUSA CA
91702-2512
US

IV. Provider business mailing address

123 E FOOTHILL BLVD
AZUSA CA
91702-2512
US

V. Phone/Fax

Practice location:
  • Phone: 626-458-1500
  • Fax: 626-458-1500
Mailing address:
  • Phone: 626-458-1500
  • Fax: 626-458-1500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL

VIII. Authorized Official

Name: NABIL HELMY HAKIM
Title or Position: CEO/PRESIDENT
Credential:
Phone: 626-390-7766