Organization
VICWEST MEDICAL EQUIPMENT & SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSLAN TEMIREZOV (CEO/PRESIDENT)
(323) 462-4070
Entity
Organization
Contact information
Practice address
5347 SANTA MONICA BLVD, LOS ANGELES, CA 90029-1105
(323) 462-4070
(323) 462-4270
Mailing address
5347 SANTA MONICA BLVD, LOS ANGELES, CA 90029-1105
(323) 462-4070
(323) 462-4270
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
000251095100018
CA
Other
Enumeration date
08/03/2010
Last updated
11/21/2011
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