Organization
NISSIM INSTITUTIONAL PROVIDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HOWARD WEISS (OWNER)
(818) 892-4555
Entity
Organization
Contact information
Practice address
9612 VAN NUYS BLVD, #108, PANORAMA CITY, CA 91402-1044
(909) 447-7040
(909) 447-7030
Mailing address
2701 KIMBALL AVE, POMONA, CA 91767-2268
(909) 447-7040
(909) 447-7030
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME01561F
—
CA
Enumeration date
05/09/2006
Last updated
01/06/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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