SOURCE ONE MEDICAL INC
Suppliers at Technology Dr, Irvine, CA

License number
California 103616
Category
Suppliers
Type
Customized Equipment
Owner
Name: DENNIS KLINE
Title: PRESIDENT/CEO
Phone: (888) 447-9056
Address
Address
16 Technology Dr SUITE 165, Irvine, CA 92618
National Provider ID: 1619972239
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about SOURCE ONE MEDICAL INC at bizstanding.com

Source One Medical, Inc

Irvine, CA 92618

Status:
Inactive
Registration:
Jun 11, 1999
State ID:
936-832
Business type:
Foreign Corporation
Formation place:
California
Agent:
Miller Chestnut,Cullman, AL 35057 (Physical)
Canceled Date:
Nov 2, 2010
Service of process:
38 TESLA STE 150 IRVINE, CA 92618

Suppliers licenses in California










Other Doctors licenses in California