# MED LIFE & ORTHOPEDIC SHOES INC

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

## Provider details

- **NPI number:** 1659537595
- **Authorized official:** MIN YOO (PRESIDENT/OWNER)
- **Authorized official phone:** (818) 701-5101

## Contact information

- **Practice address:** 9909 CANOGA AVE, UNIT I, CHATSWORTH, CA 91311-3070
- **Practice address phone:** (818) 701-5101
- **Practice address fax:** (877) 320-4743
- **Mailing address:** 9909 CANOGA AVE, UNIT I, CHATSWORTH, CA 91311-3070
- **Mailing address phone:** (818) 701-5101
- **Mailing address fax:** (877) 320-4743

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 49653 | CA | Yes |

## Other

- **Enumeration date:** 07/30/2008
- **Last updated:** 07/15/2014