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Organization
WHABA MEDICAL INC
Active
Organization
WHABA MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEKSANDR SHILOV (CEO)
(619) 935-4599
Entity
Organization
Contact information
Practice address
1243 S OLIVE ST APT 634, LOS ANGELES, CA 90015-3799
(619) 935-4599
(619) 935-4771
Mailing address
1243 S OLIVE ST APT 634, LOS ANGELES, CA 90015-3799
(619) 935-4599
(619) 935-4771
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
332BC3200X
Customized Equipment (DME)
—
NULL
332BD1200X
Dialysis Equipment & Supplies (DME)
—
NULL
332BN1400X
Nursing Facility Supplies (DME)
—
NULL
332BX2000X
Oxygen Equipment & Supplies (DME)
—
NULL
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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