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Organization

HEALTH-O-MED, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GEORGIY SARKISOV (PRESIDENT/OWNER)
(323) 654-6890
Entity
Organization

Contact information

Practice address
7606 SANTA MONICA BLVD, WEST HOLLYWOOD, CA 90046-6409
(323) 654-6890
(323) 654-8041
Mailing address
7606 SANTA MONICA BLVD, WEST HOLLYWOOD, CA 90046-6409
(323) 654-6890
(323) 654-8041

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
100943
CA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
17276
CA
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
17276
CA
335E00000X
Prosthetic/Orthotic Supplier
17276
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
DME02089G
CA
01
ZZZ44489Z
BLUE SHIELD OF CA
CA
Enumeration date
05/08/2006
Last updated
07/29/2008
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