Organization
VILA MEDICAL SUPPLY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN TOKAREV (PRESIDENT/CEO)
(818) 437-9434
Entity
Organization
Contact information
Practice address
14545 FRIAR ST, SUITE 112, VAN NUYS, CA 91411-2357
(818) 785-7722
(818) 785-7772
Mailing address
PO BOX 56334, SHERMAN OAKS, CA 91413-1334
(818) 785-7722
(818) 785-7772
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
CA
Other
Enumeration date
08/14/2006
Last updated
08/22/2020
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