# ICEBERG HEALTH CARE INC.

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

## Provider details

- **NPI number:** 1265545958
- **Authorized official:** ANDERY YEVCHUK (PRESIDENT)
- **Authorized official phone:** (323) 733-5153

## Contact information

- **Practice address:** 3631 CRENSHAW BLVD STE 111, LOS ANGELES, CA 90016-4869
- **Practice address phone:** (323) 733-5153
- **Practice address fax:** (323) 733-5142
- **Mailing address:** 3631 CRENSHAW BLVD STE 111, LOS ANGELES, CA 90016-4869
- **Mailing address phone:** (323) 733-5153
- **Mailing address fax:** (323) 733-5142

## Taxonomy

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

## Other

- **Enumeration date:** 08/16/2006
- **Last updated:** 08/22/2020