Organization
SUN VALLEY MEDICAL DEVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE GEORGINA HENDERSON (PRESIDENT)
(424) 247-7308
Entity
Organization
Contact information
Practice address
3629 N SEPULVEDA BLVD, 103, MANHATTAN BEACH, CA 90266-3632
(424) 247-7308
(866) 617-1708
Mailing address
3629 N SEPULVEDA BLVD, SUITE 103, MANHATTAN BEACH, CA 90266-3632
(424) 247-7308
(866) 617-1708
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
102977
CA
Other
Enumeration date
10/23/2006
Last updated
09/06/2011
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