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Organization
PRIMO MEDICAL SUPPLIES INC
Active
Organization
PRIMO MEDICAL SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAYSAL BAHNASSI (PRESIDENT)
(818) 909-3790
Entity
Organization
Contact information
Practice address
17337 VENTURA BLVD, SUITE 220, ENCINO, CA 91316-4039
(866) 224-5811
(818) 235-0103
Mailing address
17337 VENTURA BLVD, SUITE 220, ENCINO, CA 91316-4039
(866) 224-5811
(818) 235-0103
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
50981
CA
Other
Enumeration date
04/16/2009
Last updated
06/14/2012
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