Organization
CARE MED & OTHOPEDIC SHOES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VACHAGAN DAVTIAN (PRESEDENT)
(818) 985-1166
Entity
Organization
Contact information
Practice address
10644 MAGNOLIA BLVD, NORTH HOLLYWOOD, CA 91601-4055
(818) 985-1166
(818) 985-1155
Mailing address
10644 MAGNOLIA BLVD, NORTH HOLLYWOOD, CA 91601-4055
(818) 985-1166
(818) 985-1155
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0002320550-0001-6
CA
Other
Enumeration date
06/10/2008
Last updated
03/31/2009
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