Provider Demographics
NPI:1447306667
Name:NOBLE MEDICAL SUPPLY, INC.
Entity type:Organization
Organization Name:NOBLE MEDICAL SUPPLY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:APPOLONIA
Authorized Official - Middle Name:UZOAMAKA
Authorized Official - Last Name:EZEANIOMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-256-2483
Mailing Address - Street 1:1638 E ARTESIA BLVD
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90805-1623
Mailing Address - Country:US
Mailing Address - Phone:562-256-2483
Mailing Address - Fax:562-256-2496
Practice Address - Street 1:1638 E ARTESIA BLVD
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90805-1623
Practice Address - Country:US
Practice Address - Phone:562-256-2483
Practice Address - Fax:562-256-2496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies