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Organization
MIRR GROUP INC
Active
Organization
MIRR GROUP INC
Active
Other names
Prime Medical Supplies, Medixcal
Organization subpart
No
Provider details
NPI number
Authorized official
ILGAR SEYEDI (OWNER)
(818) 900-0710
Entity
Organization
Contact information
Practice address
14942 DELANO ST, VAN NUYS, CA 91411-2122
(818) 900-0710
Mailing address
14942 DELANO ST, VAN NUYS, CA 91411-2122
(818) 900-0710
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
332BN1400X
Nursing Facility Supplies (DME)
—
NULL
374U00000X
Home Health Aide
—
NULL
374U00000X
Home Health Aide
—
—
Other
Enumeration date
02/23/2021
Last updated
02/23/2021
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