Organization
CORE MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARZANE KAMALI KHESAL (PRESIDENT)
(818) 988-2123
Entity
Organization
Contact information
Practice address
6525 VAN NUYS BLVD, VAN NUYS, CA 91401-1425
(818) 332-7972
(818) 988-2622
Mailing address
6525 VAN NUYS BLVD, VAN NUYS, CA 91401-1425
(818) 332-7972
(818) 988-2622
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
09/03/2024
Last updated
05/21/2025
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