Capitol Medical Supply INC
NPI #1124581053 in Manhattan Beach, California
Provider Information
- NPI Number
- 1124581053
- Entity Type
- Organization
- Organization Name
- Capitol Medical Supply INC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Apr 8, 2019
- Last Updated
- Jun 11, 2019
Practice Location
- Address
- 3629 N SEPULVEDA BLVD # 103
- City
- Manhattan Beach
- State
- California
- ZIP Code
- 90266-3632
- Phone
- (424) 247-8165
Authorized Official
- Name
- MRS. KAMERIA AHMED IBRAHIM
- Title
- OWNER/PRESIDENT
- Phone
- (424) 247-8165
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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