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NPI Code Detail

MEDICARE: A & D MEDICAL SUPPLY

MEDICARE: A & D MEDICAL SUPPLY
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
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1033682141
Entity Type Code : Organization
Provider Name (Legal Business Name) : A & D MEDICAL SUPPLY
Provider Business Mailing Address
First Line : 3848 CAMPUS DR STE 117
Second Line :
City : NEWPORT BEACH
State : CA
Zip : 92660-2694
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3848 CAMPUS DR STE 117
Second Line :
City : NEWPORT BEACH
State : CA
Zip : 92660-2694
Country : US
Telephone Number : 949-393-7760
Fax Number : 800-214-4615
Authorized Official
Title or Position : PRESIDENT/CEO
Name : ALICIA SIMILA
Credential :
Telephone Number : 949-554-3567
Provider Enumeration Date : 01/10/2019
Last Update Date : 01/15/2019

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Directions to “A & D MEDICAL SUPPLY ” Practice Location

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