Provider Demographics
NPI:1306150354
Name:BLESSING MEDICAL SUPPLY
Entity type:Organization
Organization Name:BLESSING MEDICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JULIUS
Authorized Official - Middle Name:A
Authorized Official - Last Name:ARE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-400-7505
Mailing Address - Street 1:17901 S VERMONT AVE
Mailing Address - Street 2:SUITE D
Mailing Address - City:GARDENA
Mailing Address - State:CA
Mailing Address - Zip Code:90248-3402
Mailing Address - Country:US
Mailing Address - Phone:310-400-7505
Mailing Address - Fax:310-808-0989
Practice Address - Street 1:17901 S VERMONT AVE
Practice Address - Street 2:SUITE D
Practice Address - City:GARDENA
Practice Address - State:CA
Practice Address - Zip Code:90248-3402
Practice Address - Country:US
Practice Address - Phone:310-400-7505
Practice Address - Fax:310-808-0989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-02
Last Update Date:2012-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies