Organization
WESTSIDE HOME MEDICAL EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WEHIBA KALIFA (PRESIDENT)
(310) 204-2375
Entity
Organization
Contact information
Practice address
2743 S ROBERTSON BLVD, LOS ANGELES, CA 90034-2403
(310) 204-2375
(310) 204-2549
Mailing address
2743 S ROBERTSON BLVD, LOS ANGELES, CA 90034-2403
(310) 204-2375
(310) 204-2549
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
100697
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME02245F
—
CA
Enumeration date
11/08/2006
Last updated
08/22/2020
Update your record
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