Organization
COMPLETE CARE MEDICAL SUPPLY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARAMARZ SAGHIZADEH (MANAGER)
(818) 986-9833
Entity
Organization
Contact information
Practice address
16756 VENTURA BLVD, ENCINO, CA 91436-1702
(818) 986-9833
(818) 986-9834
Mailing address
16756 VENTURA BLVD, ENCINO, CA 91436-1702
(818) 986-9833
(818) 986-9834
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME02279G
—
CA
Enumeration date
08/09/2006
Last updated
01/03/2008
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