PROVISION MEDICAL SUPPLY is a Stock Corporation - CA - General registered in the state of California. The business was filed on 12/17/2018 and is currently listed as Suspended - FTB. The official file number for this entity is 4218715. The registered agent on file is Rana Shameh, located at 8400 Edinger Avenue Apt Y105, Huntington Beach, Ca, 92647. The principal office address is located at 777 W 19th Street Suite F, Costa Mesa, Ca, 92627.
Filing Information
Status
Suspended - FTB
Entity Type
Stock Corporation - CA - General
State Entity ID
4218715
Formation Date
12/17/2018
Formation State
CALIFORNIA
Addresses
Principal Address
777 W 19th Street Suite F, Costa Mesa, Ca, 92627
Registered Agent
Registered Agent Name
Rana Shameh
Agent Address
8400 Edinger Avenue Apt Y105, Huntington Beach, Ca, 92647
Record last updated on July 6, 2026 at 4:29 PM EST
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