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Organization

RELIABLE MEDICAL SUPPLY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALEXANDER POBEREJSKY (MANAGING DIRECTOR)
(323) 651-9822
Entity
Organization

Contact information

Practice address
454 S ROBERTSON BLVD # D-1, LOS ANGELES, CA 90048-3972
(323) 651-9822
(310) 786-2063
Mailing address
8306 WILSHIRE BLVD # 2028, BEVERLY HILLS, CA 90211-2304
(323) 651-9822
(310) 786-2063

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
56659
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
56659
HOME MEDICAL DEVICE RETAIL LICENSE
CA
Enumeration date
11/22/2013
Last updated
11/22/2013
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