# FELIX BOGOMOLNY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ortho Medical Supply Company
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891732723
- **Authorized official:** FELIX BOGOMOLNY (OWNER)
- **Authorized official phone:** (818) 508-1100

## Contact information

- **Practice address:** 12729 VENTURA BLVD, STUDIO CITY, CA 91604-2430
- **Practice address phone:** (818) 508-1100
- **Practice address fax:** (818) 508-1455
- **Mailing address:** 12729 VENTURA BLVD, STUDIO CITY, CA 91604-2430
- **Mailing address phone:** (818) 508-1100
- **Mailing address fax:** (818) 508-1455

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 103867 | CA | Yes |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 18010 | CA | — |

## Other

- **Enumeration date:** 05/31/2006
- **Last updated:** 05/23/2008