Organization
MEDLIFE MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALENTINA POPERECHNAYA (CEO)
(818) 708-9444
Entity
Organization
Contact information
Practice address
9555 OWENSMOUTH AVE STE 9, CHATSWORTH, CA 91311-8000
(818) 708-9444
(888) 981-8865
Mailing address
9555 OWENSMOUTH AVE STE 9, CHATSWORTH, CA 91311-8000
(818) 708-9444
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
102667
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME02282F
—
CA
Enumeration date
01/10/2007
Last updated
09/27/2021
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