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NPI Code Detail

MEDICARE: GABES MEDICAL SUPPLY

MEDICARE: GABES 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 Supplies97028850CA

General Provider Information

NPI Number : 1871776328
Entity Type Code : Organization
Provider Name (Legal Business Name) : GABES MEDICAL SUPPLY
Provider Business Mailing Address
First Line : 4256 W EL SEGUNDO BLVD
Second Line :
City : HAWTHORNE
State : CA
Zip : 90250-4518
Country : US
Telephone Number : 310-676-1067
Fax Number : 310-676-6929
Provider Business Practice Location Address
First Line : 4256 W EL SEGUNDO BLVD
Second Line :
City : HAWTHORNE
State : CA
Zip : 90250-4518
Country : US
Telephone Number : 310-676-1067
Fax Number : 310-676-6929
Authorized Official
Title or Position : OWNER
Name : FONYONGA GABRIEL TODMIA
Credential :
Telephone Number : 310-676-1067
Provider Enumeration Date : 12/06/2007
Last Update Date : 12/06/2007

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Directions to “GABES MEDICAL SUPPLY ” Practice Location

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