Organization
INTIMATE IMAGE NO 1 INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH HIGGINS (OWNER)
(818) 876-7333
Entity
Organization
Contact information
Practice address
2907 1/2 SANTA MONICA BLVD, SANTA MONICA, CA 90404-2413
(310) 582-1960
Mailing address
2907 1/2 SANTA MONICA BLVD, SANTA MONICA, CA 90404-2413
(310) 582-1960
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/16/2010
Last updated
12/16/2010
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