MEDIA MOGULINC NPI 1295976108

NPI Information

MEDIA MOGUL,INC is a parenteral and enteral nutrition durable medical equipment medical supplies in Los Angeles, CA. MEDIA MOGUL,INC NPI is 1295976108. The provider is registered as an organization entity type.
The provider Other Name Is Magic Mangosteen.

The provider's business location address is:

1223 W 127TH ST
LOS ANGELES, CA
ZIP 90044-021
Phone: (323) 375-9973

The provider's authorized official is Ray Du Boc Ali .
The authorized official title is Director / President and has the following contact phone number (323) 375-9973.

The enumeration date for this NPI number is 3/23/2009 and was last updated on 3/23/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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