Organization
MED-DME SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIA GORELISHVILI (OWNER)
(818) 446-0700
Entity
Organization
Contact information
Practice address
8340 FOOTHILL BLVD, SUNLAND, CA 91040-2849
(818) 446-0700
(818) 446-0064
Mailing address
8340 FOOTHILL BLVD, SUNLAND, CA 91040-2849
(818) 446-0700
(818) 446-0064
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5724590001
CA
Other
Enumeration date
11/15/2007
Last updated
06/24/2008
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