Organization
MGM PATIENT CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID GHODS (CEO)
(818) 602-5171
Entity
Organization
Contact information
Practice address
2970 KELE ST STE 2, LIHUE, HI 96766-1823
(818) 602-5171
Mailing address
18653 VENTURA BLVD # 260, TARZANA, CA 91356-4103
(818) 602-5171
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
HI
Other
Enumeration date
12/29/2010
Last updated
12/29/2010
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