Organization
MAJESTIC MEDICAL SUPPLY CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRINA SHINYAEVA (PRESIDENT)
(818) 849-6481
Entity
Organization
Contact information
Practice address
14626 VICTORY BLVD, VAN NUYS, CA 91411-1621
(818) 849-6481
Mailing address
14626 VICTORY BLVD, VAN NUYS, CA 91411-1621
(818) 849-6481
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
CA
Other
Enumeration date
01/27/2009
Last updated
11/23/2011
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