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Organization

NISSIM INSTITUTIONAL PROVIDERS

Active
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Organization

NISSIM INSTITUTIONAL PROVIDERS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. HOWARD WEISS (OWNER)
(818) 892-4555
Entity
Organization

Contact information

Practice address
9612 VAN NUYS BLVD, #108, PANORAMA CITY, CA 91402-1044
(909) 447-7040
(909) 447-7030
Mailing address
2701 KIMBALL AVE, POMONA, CA 91767-2268
(909) 447-7040
(909) 447-7030

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
332BN1400X
Nursing Facility Supplies (DME)
—
NULL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
NULL

Other

Enumeration date
05/09/2006
Last updated
01/06/2009
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