Organization
PALM SPRINGS MEDICAL SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVGENY SAZONOV (CEO)
(818) 574-9960
Entity
Organization
Contact information
Practice address
19301 SATICOY ST, SUITE C-336, RESEDA, CA 91335-2358
(818) 574-9960
Mailing address
19301 SATICOY ST, SUITE C-336, RESEDA, CA 91335-2358
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
05D1102651
CA
Other
Enumeration date
09/16/2009
Last updated
09/16/2009
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