Organization
IMS MEDICAL SUPPLY INC
Active
Other names
INSURE NUTRITION
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MEHRAN KOHANBASH (PRESIDENT)
(888) 519-8314
Entity
Organization
Contact information
Practice address
8400 LINCOLN BLVD # B, LOS ANGELES, CA 90045-2416
(888) 519-8314
Mailing address
8400 LINCOLN BLVD # B, LOS ANGELES, CA 90045-2416
(888) 519-8314
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
Other
Enumeration date
08/18/2013
Last updated
08/18/2013
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