| NPI | 1326040502 |
|---|---|
| Doing Business As | AVASCO MEDICAL SUPPLY INC |
| Entity Type | Organization |
| Authorized Contact | RANDY ABABSEH Owner 805-522-5333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 396218-03) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: CA 100631) |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: CA 396218-03) | |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2012-04-03 |