Organization
FELIX BOGOMOLNY
Active
Other names
Ortho Medical Supply Company
Organization subpart
No
Provider details
NPI number
Authorized official
FELIX BOGOMOLNY (OWNER)
(818) 508-1100
Entity
Organization
Contact information
Practice address
12729 VENTURA BLVD, STUDIO CITY, CA 91604-2430
(818) 508-1100
(818) 508-1455
Mailing address
12729 VENTURA BLVD, STUDIO CITY, CA 91604-2430
(818) 508-1100
(818) 508-1455
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
103867
CA
332BX2000X
Oxygen Equipment & Supplies (DME)
18010
CA
Other
Enumeration date
05/31/2006
Last updated
05/23/2008
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