Organization
INTIMATE IMAGE NO 1 INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH HIGGINS (OWNER)
(818) 876-7333
Entity
Organization
Contact information
Practice address
22941 VENTURA BLVD STE M, WOODLAND HILLS, CA 91364-1242
(818) 876-7333
(818) 876-7334
Mailing address
22941 VENTURA BLVD STE M, WOODLAND HILLS, CA 91364-1242
(818) 876-7333
(818) 876-7334
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME02521F
—
CA
Enumeration date
09/20/2006
Last updated
07/21/2022
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