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Organization
MODERN DME LLC
Active
Organization
MODERN DME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAMED SHOORESHI (MEMBER)
(818) 518-7726
Entity
Organization
Contact information
Practice address
19652 VENTURA BLVD, TARZANA, CA 91356-2970
(818) 514-6484
(818) 514-6448
Mailing address
19652 VENTURA BLVD, TARZANA, CA 91356-2970
(818) 514-6484
(818) 514-6448
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
02/16/2022
Last updated
09/21/2024
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