Organization
MED LIFE & ORTHOPEDIC SHOES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIN YOO (PRESIDENT/OWNER)
(818) 701-5101
Entity
Organization
Contact information
Practice address
9909 CANOGA AVE, UNIT I, CHATSWORTH, CA 91311-3070
(818) 701-5101
(877) 320-4743
Mailing address
9909 CANOGA AVE, UNIT I, CHATSWORTH, CA 91311-3070
(818) 701-5101
(877) 320-4743
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
49653
CA
Other
Enumeration date
07/30/2008
Last updated
07/15/2014
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