Organization
IDEAL LIFE CALIFORNIA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON GOLDBERG (PRESIDENT)
(888) 433-2541
Entity
Organization
Contact information
Practice address
10736 JEFFERSON BLVD STE 640, CULVER CITY, CA 90230-4933
(888) 433-2541
(416) 489-3009
Mailing address
10736 JEFFERSON BLVD STE 640, CULVER CITY, CA 90230-4933
(888) 433-2541
(416) 489-3009
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/23/2012
Last updated
07/23/2012
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