Organization
PATRICK SOGBEIN
Active
Other names
DEBS MEDICAL DISTRIBUTOR
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK ADEBOWALE SOGBEIN (OWNER)
(818) 376-1243
Entity
Organization
Contact information
Practice address
13615 VICTORY BLVD, SUITE 136, VAN NUYS, CA 91401-1737
(818) 376-1243
Mailing address
13615 VICTORY BLVD, SUITE 136, VAN NUYS, CA 91401-1737
(818) 376-1243
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
102908
CA
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME03303F
—
CA
Enumeration date
02/08/2008
Last updated
06/12/2008
Update your record
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