Organization
VIVA MED LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICTORINE FOMA (MANAGING DIRECTOR)
(301) 379-5738
Entity
Organization
Contact information
Practice address
15701 TULSA ST, GRANADA HILLS, CA 91344-5524
(301) 379-5738
Mailing address
15701 TULSA ST, GRANADA HILLS, CA 91344-5524
(301) 379-5738
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5524
CA
Other
Enumeration date
07/09/2011
Last updated
07/09/2011
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