Champion Medical Supply

NPI #1437336955 in Simi Valley, California

Provider Information

NPI Number
1437336955
Entity Type
Organization
Organization Name
Champion Medical Supply
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Jan 28, 2008
Last Updated
Jan 28, 2008

Practice Location

Address
1996 GLENTANA ST
ZIP Code
93065-0553
Phone
(310) 462-1944

Authorized Official

Name
MR. JEROME KEVIN TYLER
Title
OWNER
Phone
(310) 462-1944

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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