Organization
SHERMAN OAKS MEDICAL SUPPLIES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK KELL (PRESIDENT)
(818) 981-9906
Entity
Organization
Contact information
Practice address
14120 MAGNOLIA BLVD STE A, SHERMAN OAKS, CA 91423-1257
(818) 981-9906
(818) 981-6698
Mailing address
14120 MAGNOLIA BLVD STE A, SHERMAN OAKS, CA 91423-1257
(818) 981-9906
(818) 981-6698
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME02409G
—
CA
Enumeration date
11/01/2006
Last updated
01/08/2024
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