Organization
OMEGA DME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF L SIMS (OPERATIONS MANAGER)
(818) 745-5583
Entity
Organization
Contact information
Practice address
21977 MIKHAIL ST, SANTA CLARITA, CA 91390-5720
(818) 748-9600
(818) 746-9601
Mailing address
18533 ROSCOE BLVD, #159, NORTHRIDGE, CA 91324-4632
(818) 748-9600
(818) 746-9601
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21680
CALIFORNIA FOOD & DRUG HOME MEDICAL DEVICE RETAIL LICENSE EXEMPTEE
CA
01
—
54684
CALIFORNIA FOOD & DRUG HOME MEDICAL DEVICE RETAIL LICENSE
CA
Enumeration date
01/19/2011
Last updated
01/19/2011
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