Organization
MDK MEDICAL EQUIPMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOFIA VIRCHENKO (OWNER/ PRESIDENT)
(818) 243-1879
Entity
Organization
Contact information
Practice address
925 1/2 E BROADWAY, GLENDALE, CA 91205-1203
(818) 243-1879
(818) 243-1892
Mailing address
925 1/2 BROADWAY AVE., GLENDALE, CA 91205
(818) 243-1879
(818) 243-1892
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
101-230828
CA
Other
Enumeration date
06/10/2009
Last updated
05/31/2010
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