# ICELANDIC WESTERN CUISINE LLC

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

## Provider details

- **NPI number:** 1467358663
- **Authorized official:** LARISSA MARIE DALY (CEO)
- **Authorized official phone:** (817) 695-3689

## Contact information

- **Practice address:** 8657 SIERRA AVE, FONTANA, CA 92335-3841
- **Practice address phone:** (817) 695-3689
- **Mailing address:** 160 E 3RD ST, SAN BERNARDINO, CA 92410-4802

## Taxonomy

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

## Other

- **Enumeration date:** 10/15/2026
- **Last updated:** 10/15/2026