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NPI Code Detail

MEDICARE: ESSENTIAL MEDICAL SUPPLY INC

MEDICARE: ESSENTIAL MEDICAL SUPPLY INC
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 Supplies0000034970-0001-6CA

General Provider Information

NPI Number : 1386675288
Entity Type Code : Organization
Provider Name (Legal Business Name) : ESSENTIAL MEDICAL SUPPLY INC
Provider Business Mailing Address
First Line : 1283 S LA BREA AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90019-1627
Country : US
Telephone Number : 323-964-9722
Fax Number : 323-964-9726
Provider Business Practice Location Address
First Line : 1283 S LA BREA AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90019-1627
Country : US
Telephone Number : 323-964-9722
Fax Number : 323-964-9726
Authorized Official
Title or Position : PERSIDENT
Name : MRS. VERA ELKIN
Credential :
Telephone Number : 323-964-9722
Provider Enumeration Date : 07/06/2006
Last Update Date : 11/19/2010

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Directions to “ESSENTIAL MEDICAL SUPPLY INC ” Practice Location

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