Organization
VISITING NURSE ADVANCED INFUSION SYSTEMS - ANAHEIM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT BARANY (GENERAL MANAGER)
(714) 533-7400
Entity
Organization
Contact information
Practice address
3822 E LA PALMA AVE, ANAHEIM, CA 92807-1713
(714) 533-7400
(714) 535-3098
Mailing address
3822 E LA PALMA AVE, ANAHEIM, CA 92807-1713
(714) 533-7400
(714) 535-3098
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
PHY46733
CA
3336H0001X
Home Infusion Therapy Pharmacy
Primary
PHY46733
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA458170
—
CA
Enumeration date
07/28/2005
Last updated
11/15/2007
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