South Bay Medical Supply
NPI #1578613428 in Wilmington, California
Provider Information
- NPI Number
- 1578613428
- Entity Type
- Organization
- Organization Name
- South Bay Medical Supply
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jan 11, 2007
- Last Updated
- Jan 9, 2008
Practice Location
- Address
- 735 BROAD AVE
- City
- Wilmington
- State
- California
- ZIP Code
- 90744-5833
- Phone
- (310) 522-4200
Authorized Official
- Name
- MR. GABRIEL C EJIZU
- Title
- OWNER
- Phone
- (310) 522-4200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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