Organization
VICTORY CARE MEDICAL SUPPLY INC.
Active
Other names
VICTORY CARE MEDICAL SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
AKAKI KARITCHASHVILI (PRESIDENT)
(818) 763-4841
Entity
Organization
Contact information
Practice address
6342 COLDWATER CANYON AVE, NORTH HOLLYWOOD, CA 91606-2911
(818) 763-4814
(818) 763-1362
Mailing address
6342 COLWATER CANYON AVE, NORTH HOLLYWOOD, CA 91606-2911
(818) 763-4814
(818) 763-1362
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0000779083-0001-0
CA
Other
Enumeration date
08/31/2006
Last updated
01/08/2010
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