Organization
WELL CARE MEDICAL SUPPLY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARITA AVEDISSIAN (PRESIDISSIAN)
(818) 381-3565
Entity
Organization
Contact information
Practice address
127 S BRAND BLVD, STE 100C, GLENDALE, CA 91204-1357
(818) 381-3565
(818) 241-0776
Mailing address
127 S BRAND BLVD STE 100C, GLENDALE, CA 91204-1357
(818) 381-3565
(818) 241-0776
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
CA
Other
Enumeration date
05/16/2008
Last updated
05/16/2008
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