Medport Restorative Care & Rehab Supplies, Inc.
NPI #1144272261 in Lancaster, California
Provider Information
- NPI Number
- 1144272261
- Entity Type
- Organization
- Organization Name
- Medport Restorative Care & Rehab Supplies, Inc.
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- May 17, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1672 W AVENUE J
- Address 2
- SUITE #207-C
- City
- Lancaster
- State
- California
- ZIP Code
- 93534-2827
- Phone
- (661) 945-3344
Authorized Official
- Name
- JOSE M. ROSADO, L.V.N., C.O.F.
- Title
- PRESIDENT, OWNER
- Phone
- (661) 269-5795
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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| Iroegbu B. Achara | |
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