Organization
MED1SPECIALTIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY ROSCA ANTONINO (PESIDENT/CEO)
(818) 988-6290
Entity
Organization
Contact information
Practice address
16022 ARMINTA STREET, SUITE 4, VAN NUYS, CA 91406
(818) 988-6290
(818) 988-6271
Mailing address
16022 ARMINTA STREET, SUITE 4, VAN NUYS, CA 91406
(818) 988-6290
(818) 988-6271
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
103448
CA
Other
Enumeration date
01/28/2008
Last updated
01/28/2008
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