Organization
LIFE CARE HOME HEALTH & MEDICAL SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHRAM NAIM COMF, BOC (CEO/PRESIDENT)
(310) 479-0094
Entity
Organization
Contact information
Practice address
11843 WILSHIRE BLVD, LOS ANGELES, CA 90025-6601
(310) 479-0094
(310) 477-0999
Mailing address
11843 WILSHIRE BLVD, LOS ANGELES, CA 90025-6601
(310) 479-0094
(310) 477-0999
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME01715G
—
CA
Enumeration date
06/28/2005
Last updated
08/22/2020
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