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Organization

EAGLE MEDICAL EQUIPMENT INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SANG JIN PARK (CEO)
(818) 559-6390
Entity
Organization

Contact information

Practice address
613 S VICTORY BLVD, BURBANK, CA 91502-2424
(818) 559-6390
(818) 559-2355
Mailing address
613 S VICTORY BLVD, BURBANK, CA 91502-2424
(818) 559-6390
(818) 559-2355

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
DME02181F
CA
Enumeration date
10/21/2005
Last updated
04/01/2024
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