# MDK MEDICAL EQUIPMENT INC

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

## Provider details

- **NPI number:** 1558597195
- **Authorized official:** SOFIA VIRCHENKO (OWNER/ PRESIDENT)
- **Authorized official phone:** (818) 243-1879

## Contact information

- **Practice address:** 925 1/2 E BROADWAY, GLENDALE, CA 91205-1203
- **Practice address phone:** (818) 243-1879
- **Practice address fax:** (818) 243-1892
- **Mailing address:** 925 1/2 BROADWAY AVE., GLENDALE, CA 91205
- **Mailing address phone:** (818) 243-1879
- **Mailing address fax:** (818) 243-1892

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 101-230828 | CA | Yes |

## Other

- **Enumeration date:** 06/10/2009
- **Last updated:** 05/31/2010