Organization
U.S. MEDTRADE CO., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARINA NAZAROVA (PRESIDENT)
(818) 557-8379
Entity
Organization
Contact information
Practice address
519 N VICTORY BLVD, BURBANK, CA 91502-1737
(818) 557-8379
(818) 557-8378
Mailing address
519 N VICTORY BLVD, BURBANK, CA 91502-1737
(818) 557-8379
(818) 557-8378
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME03400F
—
CA
Enumeration date
09/20/2006
Last updated
11/30/2007
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