Organization
GRANT OTUZBIRYAN
Active
Other names
SUNLAND MEDICAL SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
GRANT OTUZBIRYAN (OWNER)
(818) 352-9880
Entity
Organization
Contact information
Practice address
8530 FOOTHILL BLVD, SUITE # E, SUNLAND, CA 91040-1900
(818) 352-9880
(818) 352-9881
Mailing address
8530 FOOTHILL BLVD, SUITE # E, SUNLAND, CA 91040-1900
(818) 352-9880
(818) 352-9881
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME02721F
—
CA
Enumeration date
09/20/2006
Last updated
05/19/2008
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