# PRIMO MEDICAL SUPPLIES INC

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

## Provider details

- **NPI number:** 1477796795
- **Authorized official:** FAYSAL BAHNASSI (PRESIDENT)
- **Authorized official phone:** (818) 909-3790

## Contact information

- **Practice address:** 17337 VENTURA BLVD, SUITE 220, ENCINO, CA 91316-4039
- **Practice address phone:** (866) 224-5811
- **Practice address fax:** (818) 235-0103
- **Mailing address:** 17337 VENTURA BLVD, SUITE 220, ENCINO, CA 91316-4039
- **Mailing address phone:** (866) 224-5811
- **Mailing address fax:** (818) 235-0103

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 50981 | CA | Yes |

## Other

- **Enumeration date:** 04/16/2009
- **Last updated:** 06/14/2012