Organization
SOUL SOURCE THERAPEUTIC DEVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LLOYD SILVERSTEIN (VICE PRESIDENT)
(818) 574-0078
Entity
Organization
Contact information
Practice address
5404 WHITSETT AVE, #205, NORTH HOLLYWOOD, CA 91607-1615
(818) 574-0078
(503) 892-5787
Mailing address
5404 WHITSETT AVE, #205, NORTH HOLLYWOOD, CA 91607-1615
(818) 574-0078
(503) 892-5787
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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