Organization
BURBANK MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
POURANG NASSI (PRESIDENT)
(818) 845-2884
Entity
Organization
Contact information
Practice address
4302 W VICTORY BLVD, BURBANK, CA 91505-1334
(818) 845-2884
(818) 845-3177
Mailing address
4302 W VICTORY BLVD, BURBANK, CA 91505-1334
(818) 845-2884
(818) 845-3177
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
53069
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME02518F
—
CA
Enumeration date
07/29/2005
Last updated
02/17/2010
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