Organization
ODESSA MEDICAL SUPPLY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIET TOROSIAN (CEO)
(818) 426-4815
Entity
Organization
Contact information
Practice address
14747 KESWICK ST, VAN NUYS, CA 91405-1206
(818) 426-4815
Mailing address
14747 KESWICK ST, VAN NUYS, CA 91405-1206
(818) 426-4815
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
01/03/2022
Last updated
01/03/2022
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