Source One Medical INC

NPI #1619972239 in Irvine, California

Provider Information

NPI Number
1619972239
Entity Type
Organization
Organization Name
Source One Medical INC
Primary Specialty
Durable Medical Equipment & Medical Supplies - Customized Equipment
Enumeration Date
Jun 20, 2005
Last Updated
May 14, 2012

Practice Location

Address
16 TECHNOLOGY DR
Address 2
SUITE 165
City
Irvine
ZIP Code
92618-2328
Phone
(888) 447-9056

Authorized Official

Name
DENNIS KLINE
Title
PRESIDENT/CEO
Phone
(888) 447-9056

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies - Customized EquipmentCustomized Equipment

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