Organization
REVUPMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE ROFF (CEO)
(818) 384-3904
Entity
Organization
Contact information
Practice address
17915 ERWIN ST, ENCINO, CA 91316-7109
(818) 384-3904
Mailing address
17915 ERWIN ST, ENCINO, CA 91316-7109
(818) 384-3904
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
04/01/2016
Last updated
04/01/2016
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