Organization
DAPHCO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WADDLETON (OWNER)
(888) 616-4156
Entity
Organization
Contact information
Practice address
2920 W OLIVE AVE STE 113, BURBANK, CA 91505-4546
(888) 616-4156
(888) 616-8965
Mailing address
2920 W OLIVE AVE STE 113, BURBANK, CA 91505-4546
(888) 616-4156
(818) 960-0134
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881249563
—
CA
Enumeration date
08/08/2019
Last updated
01/15/2024
Update your record
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