Organization
IMS MEDICAL SUPPLY INC
Active
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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