Organization
VAN NESS
Active
Other names
VAN NESS
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSA DAVITIAN (OWNER)
(323) 292-3558
Entity
Organization
Contact information
Practice address
4369 S VAN NESS AVE, LOS ANGELES, CA 90062-1454
(323) 292-3558
(323) 292-3688
Mailing address
4369 S VAN NESS AVE, LOS ANGELES, CA 90062-1454
(323) 292-3558
(323) 292-3688
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0002030788-0001-0
CA
Other
Enumeration date
07/12/2006
Last updated
08/22/2020
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