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Medsource Llc
Durable Medical Equipment & Medical Supplies in Lomita, California
NPI 1669795415

Medsource Llc is a Durable Medical Equipment & Medical Supplies based in Bloomington, CA. Medsource Llc practices in Lomita, CA. The NPI Number for Medsource Llc is 1669795415 and holds a License No. 203.000461 (California).

The current practice location address for Medsource Llc is 25835 Narbonne Ave, Lomita, CA and can be reached out via phone at 888-510-5100.

Location: 25835 Narbonne Ave, Lomita, CA, 61702-1248
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669795415
Provider Name
Medsource Llc
Credential
Provider Entity Type
Organization
Address
25835 Narbonne Ave, Lomita, CA, 61702-1248
Phone Number
888-510-5100
Fax Number
Provider Enumeration Date
03/09/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
203.000461 01 IL LICENSE
institution
Provider Business Practice Location Address Details
Address
25835 Narbonne Ave
City
Lomita
State
California
Zip
90717-3074
Phone Number
888-510-5100
Fax Number
person
Provider Business Mailing Address Details
Address
25835 Narbonne Ave
City
Lomita
State
California
Zip
90717-3074
Phone Number
888-510-5100
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
203.000461 (Illinois)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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