Vantage Medical Supply, Inc

LBN: Vantage Medical Supply, Inc
Vantage Medical Supply, Inc is an health care organization with primary practice located at 427 N Long Beach Blvd , Compton CA 90221-2218. The organization recently has only one registered license in Suppliers / Customized Equipment, which is considered as the primary health care specialty. Vantage Medical Supply, Inc can be contacted via phone (310) 763-2234, or through Okwaraji, Fabian Maduabuchi via phone (310) 763-2234.

Contact Information

Primary practice address
427 N Long Beach Blvd Compton CA 90221-2218
Fax: (310) 763-2058
Website:
Authorized official contact:
Name: Okwaraji, Fabian Maduabuchi

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X California
Suppliers / Customized Equipment 332BC3200X 103756 California

Profile Details

NPI number 1891745915
LBN Legal business name Vantage Medical Supply, Inc
DBA Doing business as
Authorized official Okwaraji, Fabian Maduabuchi
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2006
Last updated Jul 9th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891745915 NPPES
California MEDICAID 8577638

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