Organization
KHRIST KAKOSIMIDI
Active
Other names
QUEEN OF ANGELS MEDICAL SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KHRIST KAKOSIMIDI (OWNER)
(818) 760-2156
Entity
Organization
Contact information
Practice address
12154 HAMLIN ST, NORTH HOLLYWOOD, CA 91606-1409
(818) 760-2156
(818) 942-7059
Mailing address
12154 HAMLIN ST, NORTH HOLLYWOOD, CA 91606-1409
(818) 760-2156
(818) 942-7059
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
45059
CA
Other
Enumeration date
06/04/2014
Last updated
07/24/2014
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