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Organization
MANTRA MEDICAL SUPPLY INC
Active
Organization
MANTRA MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEHNAM DAHESH (CEO)
(818) 614-4788
Entity
Organization
Contact information
Practice address
16661 VENTURA BLVD STE 518, ENCINO, CA 91436-1924
(747) 230-5929
Mailing address
16661 VENTURA BLVD STE 518, ENCINO, CA 91436-1924
(747) 230-5929
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
06/15/2020
Last updated
03/02/2026
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