Organization
GENERAL HOME MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KAMBIZ YADIDI (PRESIDENT)
(888) 311-0666
Entity
Organization
Contact information
Practice address
717 LAKEFIELD RD STE D, WESTLAKE VILLAGE, CA 91361-2692
(888) 311-0666
(888) 611-0666
Mailing address
717 LAKEFIELD RD STE D, WESTLAKE VILLAGE, CA 91361-2692
(888) 311-0666
(888) 611-0666
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
76671
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME02311G
—
CA
05
—
GXC018030
—
CA
Enumeration date
07/01/2006
Last updated
08/22/2020
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