MEDICARE: VANTAGE 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
1	332BC3200X	Customized Equipment (DME)	103756	CA
2	332BC3200X	Customized Equipment (DME)		CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891745915
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VANTAGE MEDICAL SUPPLY, INC

Provider Business Mailing Address
First Line	:	427 N LONG BEACH BLVD
Second Line	:
City	:	COMPTON
State	:	CA
Zip	:	90221-2218
Country	:	US
Telephone Number	:	310-763-2234
Fax Number	:	310-763-2058

Provider Business Practice Location Address
First Line	:	427 N LONG BEACH BLVD
Second Line	:
City	:	COMPTON
State	:	CA
Zip	:	90221-2218
Country	:	US
Telephone Number	:	310-763-2234
Fax Number	:	310-763-2058

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. FABIAN MADUABUCHI OKWARAJI
Credential	:
Telephone Number	:	310-763-2234

Provider Enumeration Date	:	05/11/2006
Last Update Date	:	07/09/2009

Similar Medicare Providers

1528924511 — JULISSA MUNOZ
Practice Location Address:

417 N LONG BEACH BLVD
COMPTON, CA
90221-2218

Practice Phone: 562-209-3500
Practice Fax: 562-209-3500

1457351140 — INTRA DRUGS ARTESIA
Practice Location Address:

403 S LONG BEACH BLVD , SUITE C
COMPTON, CA
90221-3449

Practice Phone: 310-639-1653
Practice Fax: 310-635-7374

1154314060 — FAISON & FAISON A PROFESSIONAL DENTAL CORPORATION
Practice Location Address:

411 S LONG BEACH BLVD
COMPTON, CA
90221-3427

Practice Phone: 310-537-2217
Practice Fax: 310-537-8062

1316932825 — COMMUNITY PHYSICAL THERAPY CTR INC
Practice Location Address:

725 S LONG BEACH BLVD
COMPTON, CA
90221-4028

Practice Phone: 310-631-8703
Practice Fax: 310-763-0400

1811969884 — DR. JAY H MESSINGER OD
Practice Location Address:

318 E COMPTON BLVD
COMPTON, CA
90221-3206

Practice Phone: 310-631-3660
Practice Fax: 310-631-9264

1831127869 — MRS. NORMA R AGUILAR MD
Practice Location Address:

921 E. COMPTON BLVD. , COMPTON MENTAL HEALTH CLINIC
COMPTON, CA
90221

Practice Phone: 310-668-6800
Practice Fax: 310-898-3474

Directions to “VANTAGE MEDICAL SUPPLY, INC ” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.