Type | Company | [sources] | |||
---|---|---|---|---|---|
Name | Colonial Medical Supply | [sources] | |||
Incorporation date | not available | [sources] | |||
Jurisdiction | not available | [sources] | |||
Country | United States | [sources] | |||
NPI | 1881625556 | [sources] | |||
Registration number | DME03409F | [sources] | |||
Sector | Durable Medical Equipment Supplier | [sources] | |||
Address | 6809 Sepulveda Blvd., Van Nuys, CA, 91405 | [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
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