Agomo Home Medical Supplies

LBN: Agomo Home Medical Supplies, Inc.
Agomo Home Medical Supplies is an health care organization with primary practice located at 10638 Burbank Blvd , North Hollywood CA 91601-2511. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Agomo Home Medical Supplies, Inc. can be contacted via phone (818) 985-1753, or through Ponce, Dennis via phone (562) 704-6190.

Contact Information

Primary practice address
10638 Burbank Blvd North Hollywood CA 91601-2511
Phone: (818) 985-1753
Fax: (818) 985-1593
Website:
Map and Directions
Authorized official contact:
Name: Ponce, Dennis
Phone: (562) 704-6190

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 55075 California

Profile Details

NPI number 1376597781
LBN Legal business name Agomo Home Medical Supplies, Inc.
DBA Doing business as Agomo Home Medical Supplies
Authorized official Ponce, Dennis
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2006
Last updated Sep 29th, 2011 - about 13 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 1376597781 NPPES
California MEDICAID DME03157F

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