Organization
JAVA ENTERPRISES, INC.
Active
Other names
American Home Medical
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID S. WAGNER (PRESIDENT)
(818) 708-0937
Entity
Organization
Contact information
Practice address
18312 OXNARD ST, TARZANA, CA 91356-1502
(818) 708-0937
(818) 708-9720
Mailing address
18312 OXNARD ST, TARZANA, CA 91356-1502
(818) 708-0937
(818) 708-9720
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
103697
CA
Other
Enumeration date
02/06/2007
Last updated
08/22/2020
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