Organization
NEA CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VARTAN MKHSI GEVORKIAN (VICE PRESIDENT)
(323) 461-9451
Entity
Organization
Contact information
Practice address
2012 WILSHIRE BLVD, LOS ANGELES, CA 90057
(213) 413-3111
(213) 413-4428
Mailing address
5207 HOLLYWOOD BLVD, LOS ANGELES, CA 90027
(323) 461-9454
(323) 461-7134
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/03/2006
Last updated
08/22/2020
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