# VAN NESS HEALTHCARE INC

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

## Provider details

- **NPI number:** 1891933107
- **Authorized official:** ROZA DAVITIAN (PRESEDENT)
- **Authorized official phone:** (323) 292-3558

## Contact information

- **Practice address:** 4369 S VAN NESS AVE, LOS ANGELES, CA 90062-1454
- **Practice address phone:** (323) 292-3558
- **Practice address fax:** (323) 292-3688
- **Mailing address:** 4369 S VAN NESS AVE, LOS ANGELES, CA 90062-1454
- **Mailing address phone:** (323) 292-3558
- **Mailing address fax:** (323) 292-3688

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 101-084565 | CA | Yes |

## Other

- **Enumeration date:** 01/23/2009
- **Last updated:** 01/23/2009