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NPI Code Detail

MEDICARE: SANTOS MEDICAL SUPPLY & EQUIMPENT PROVIDER

MEDICARE: SANTOS MEDICAL SUPPLY & EQUIMPENT PROVIDER
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 Supplies5184410001CA

General Provider Information

NPI Number : 1487749008
Entity Type Code : Organization
Provider Name (Legal Business Name) : SANTOS MEDICAL SUPPLY & EQUIMPENT PROVIDER
Provider Business Mailing Address
First Line : 2821 S VERMONT AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90007-2230
Country : US
Telephone Number : 323-732-3798
Fax Number : 323-732-5034
Provider Business Practice Location Address
First Line : 2821 S VERMONT AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90007-2230
Country : US
Telephone Number : 323-732-3798
Fax Number : 323-732-5034
Authorized Official
Title or Position : PARTNER
Name : ELSIE EDMOND
Credential :
Telephone Number : 323-732-3798
Provider Enumeration Date : 10/03/2006
Last Update Date : 07/21/2008

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Directions to “SANTOS MEDICAL SUPPLY & EQUIMPENT PROVIDER ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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