Organization
BRILLIANT CARE MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOOKMAN L KING (OWNER)
(323) 466-0077
Entity
Organization
Contact information
Practice address
1680 VINE ST, 220, HOLLYWOOD, CA 90028-8804
(323) 466-0077
(323) 466-7722
Mailing address
1680 VINE ST, 220, HOLLYWOOD, CA 90028-8804
(323) 466-0077
(323) 466-7722
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
103134
CA
Other
Enumeration date
09/20/2006
Last updated
12/03/2007
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