Organization
ICEBERG HEALTH CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDERY YEVCHUK (PRESIDENT)
(323) 733-5153
Entity
Organization
Contact information
Practice address
3631 CRENSHAW BLVD STE 111, LOS ANGELES, CA 90016-4869
(323) 733-5153
(323) 733-5142
Mailing address
3631 CRENSHAW BLVD STE 111, LOS ANGELES, CA 90016-4869
(323) 733-5153
(323) 733-5142
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
CA
Other
Enumeration date
08/16/2006
Last updated
08/22/2020
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