Organization
VALLEY MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JADE J CHOI (PRESIDENT/OFFICER)
(818) 997-0069
Entity
Organization
Contact information
Practice address
7130 VAN NUYS BLVD, VAN NUYS, CA 91405-3005
(818) 997-0069
(818) 997-8258
Mailing address
7130 VAN NUYS BLVD, VAN NUYS, CA 91405-3005
(818) 997-0069
(818) 997-8258
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
103029
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME03179F
—
CA
Enumeration date
07/09/2006
Last updated
07/27/2012
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