Organization
SHAKTI MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP SOKOLSKY JR. (PRESIDENT)
(310) 372-4200
Entity
Organization
Contact information
Practice address
2455 190TH ST, REDONDO BEACH, CA 90278-5334
(310) 372-4200
(310) 219-0723
Mailing address
2455 190TH ST, REDONDO BEACH, CA 90278-5334
(310) 372-4200
(310) 219-0723
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
CA
Other
Enumeration date
11/21/2007
Last updated
11/21/2007
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