Organization
STAR MEDICAL AND SURGICAL SUPPLY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARISA SHOR (PRESIDENT)
(323) 656-9921
Entity
Organization
Contact information
Practice address
7768 SANTA MONICA BLVD, WEST HOLLYWOOD, CA 90046-6219
(323) 656-9921
Mailing address
7768 SANTA MONICA BLVD, WEST HOLLYWOOD, CA 90046-6219
(323) 656-9921
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME02510F
—
CA
Enumeration date
01/11/2007
Last updated
08/22/2020
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