# NE MED SUPPLY INC

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

## Provider details

- **NPI number:** 1609049568
- **Authorized official:** NINA EGIAZAROVA (OWNER)
- **Authorized official phone:** (818) 996-2226

## Contact information

- **Practice address:** 6047 TAMPA AVE, STE 107, TARZANA, CA 91356-1158
- **Practice address phone:** (818) 996-2226
- **Practice address fax:** (818) 996-2227
- **Mailing address:** 6047 TAMPA AVE, STE 107, TARZANA, CA 91356-1158
- **Mailing address phone:** (818) 996-2226
- **Mailing address fax:** (818) 996-2227

## Taxonomy

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

## Other

- **Enumeration date:** 04/10/2008
- **Last updated:** 01/23/2009