Type | Company | [sources] | |||
---|---|---|---|---|---|
Name | Chandler Medical Supply · Ludumes Inc Chandler Medical Supply | [sources] | |||
Incorporation date | not available | [sources] | |||
Jurisdiction | not available | [sources] | |||
Country | United States | [sources] | |||
NPI | 1700022191 | [sources] | |||
Registration number | 170002219 · HD50293 | [sources] | |||
Sector | Corporation Owner · Owner | [sources] | |||
Address | 1278 Colfax Ct., Pomona, CA · 1621 East Edinger Ave., Santa Ana, CA | [sources] | |||
Last change | Last processed | First seen |
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States · DHCS
us-medca-88876bd86847c486adc8f675bbb821e0d4d43897
· us-medca-82b65b6893415383e60c85856368ed43652ce752
For experts: raw data explorer
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Linked to | ||||
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Object | Role | Start date | End date | |
Tsobnang, Boniface Debarred entity | - | - | - |