Organization · Type 2 NPI

Charles Etuk

Durable Medical Equipment & Medical Supplies · San Pedro, CA

NPI number 1629183496 Active

Practice location

1011 S Gaffey St
San Pedro, CA 90731-4033

Call (310) 241-0886 Map

Fax (310) 241-0876

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies Primary 332B00000X45847 (CA)

Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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About NPI 1629183496

Charles Etuk's National Provider Identifier is 1629183496, issued on Aug 20, 2006. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in San Pedro, CA. The record was last updated on Jun 20, 2008.