Organization
DYNAMIC ORTHO SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SOSI HAIDOSTIAN (OWNER)
(818) 480-1879
Entity
Organization
Contact information
Practice address
943 CAMBRIDGE DR, BURBANK, CA 91504-1916
(818) 480-1879
Mailing address
PO BOX 3996, BURBANK, CA 91508-3996
(818) 480-1879
(818) 845-5925
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
101-595313
CA
Other
Enumeration date
07/22/2010
Last updated
07/22/2010
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