# VILA MEDICAL SUPPLY INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063425668
- **Authorized official:** IVAN TOKAREV (PRESIDENT/CEO)
- **Authorized official phone:** (818) 437-9434

## Contact information

- **Practice address:** 14545 FRIAR ST, SUITE 112, VAN NUYS, CA 91411-2357
- **Practice address phone:** (818) 785-7722
- **Practice address fax:** (818) 785-7772
- **Mailing address:** PO BOX 56334, SHERMAN OAKS, CA 91413-1334
- **Mailing address phone:** (818) 785-7722
- **Mailing address fax:** (818) 785-7772

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | CA | Yes |

## Other

- **Enumeration date:** 08/14/2006
- **Last updated:** 08/22/2020