Organization
GOLDEN AGE MEDICAL EQUIPMENT AND SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SVETLANA ROMANCHUK (CEO)
(323) 876-5537
Entity
Organization
Contact information
Practice address
7121 W SUNSET BLVD, LOS ANGELES, CA 90046-4411
(323) 876-5537
(323) 876-5573
Mailing address
7121 W SUNSET BLVD, LOS ANGELES, CA 90046-4411
(323) 876-5537
(323) 876-5573
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
44989
CA
Other
Enumeration date
06/01/2006
Last updated
04/23/2010
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