Organization
RELIANT MEDICAL SUPPLIES & ORTHOTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAYAM DAVID EMMANUEL (PRESIDENT)
(323) 525-1211
Entity
Organization
Contact information
Practice address
5855 VENICE BLVD, LOS ANGELES, CA 90019-5021
(323) 525-1211
(323) 525-0102
Mailing address
9903 SANTA MONICA BLVD, #622, BEVERLY HILLS, CA 90212-1606
(323) 525-1211
(323) 525-0102
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
103011
CA
335E00000X
Prosthetic/Orthotic Supplier
Primary
103011
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203242500
ACS # - DEPT. OF LABOR
—
01
—
ZZZ09460Z
BLUE SHIELD
—
Enumeration date
08/05/2006
Last updated
03/05/2026
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