Provider Demographics
NPI:1003069618
Name:RAMI MEDICAL DENTAL SUPPLY
Entity Type:Organization
Organization Name:RAMI MEDICAL DENTAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAMI
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDELLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-951-3823
Mailing Address - Street 1:25835 NARBONNE AVE
Mailing Address - Street 2:SUITE 200 F
Mailing Address - City:LOMITA
Mailing Address - State:CA
Mailing Address - Zip Code:90717-3074
Mailing Address - Country:US
Mailing Address - Phone:310-951-3823
Mailing Address - Fax:866-390-3791
Practice Address - Street 1:25835 NARBONNE AVE
Practice Address - Street 2:SUITE 200 F
Practice Address - City:LOMITA
Practice Address - State:CA
Practice Address - Zip Code:90717-3074
Practice Address - Country:US
Practice Address - Phone:310-951-3823
Practice Address - Fax:866-390-3791
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASR AS 101-107798332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies