Provider Demographics
NPI:1245803246
Name:AA MEDICAL SUPPLY
Entity Type:Organization
Organization Name:AA MEDICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NABIL
Authorized Official - Middle Name:HELMY
Authorized Official - Last Name:HAKIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-458-1500
Mailing Address - Street 1:123 E FOOTHILL BLVD
Mailing Address - Street 2:
Mailing Address - City:AZUSA
Mailing Address - State:CA
Mailing Address - Zip Code:91702-2512
Mailing Address - Country:US
Mailing Address - Phone:626-458-1500
Mailing Address - Fax:626-458-1200
Practice Address - Street 1:123 E FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:AZUSA
Practice Address - State:CA
Practice Address - Zip Code:91702-2512
Practice Address - Country:US
Practice Address - Phone:626-458-1500
Practice Address - Fax:626-458-1200
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WILBUR HOME HEALTH CARE & MEDICAL SUPPLY INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-07-19
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies