Organization
SUPERCARE DEPOT INC
Active
Other names
Supercare Depot Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MEHRAN MICHAEL KHALILI (CEO)
(310) 422-1720
Entity
Organization
Contact information
Practice address
11901 SANTA MONICA BLVD STE 470, LOS ANGELES, CA 90025-2767
(310) 422-1720
Mailing address
11901 SANTA MONICA BLVD STE 470, LOS ANGELES, CA 90025-2767
(310) 422-1720
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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