| NPI | 1467498477 |
|---|---|
| Doing Business As | PACIFIC MEDEDGE MEDICAL SERVICES # SUPPLIES |
| Entity Type | Organization |
| Authorized Contact | HAMID SHIWOKU Operations Manager 310-532-6247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: CA 103809) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2022-07-21 |