Clarence M. Hyshaw/Mid-City Ortho & Neuro Supply
Durable Medical Equipment & Medical Supplies in Lynwood, CA. Organization (NPI-2).
NPI number1477669042
StatusActive
Last updated in NPPESJul 7, 2008
Details
- NPI
- 1477669042
- Entity type
- Organization (NPI-2)
- Legal business name
- Clarence M. Hyshaw/Mid-City Ortho & Neuro Supply
- Organization subpart
- No
- Enumeration date
- Aug 23, 2006
- Last updated
- Jul 7, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | 2531 | CA | Yes |
Practice location
3622 Martin Luther King Jr BlvdSuite A
Lynwood, CA 90262-2607
Phone 310-669-9806 · Fax 310-669-9804
Mailing address
3622 Martin Luther King Jr BlvdSuite A
Lynwood, CA 90262-2607
Phone 310-669-9806 · Fax 310-669-9804
Authorized official
Kenon D Mckinney
Manager
3106699806
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