Individual
NASIR AWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7816 YORKTOWN PLACE, LOS ANGELES, CA 90045
(310) 902-7741
(310) 568-0547
Mailing address
7816 YORKTOWN PLACE, LOS ANGELES, CA 90045
(310) 902-7741
(310) 568-0547
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0000450042-00024
CA
335E00000X
Prosthetic/Orthotic Supplier
0000450042-00024
CA
Other
Enumeration date
07/09/2012
Last updated
07/11/2012
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