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Organization

MODERN DME LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HAMED SHOORESHI (MEMBER)
(818) 518-7726
Entity
Organization

Contact information

Practice address
19652 VENTURA BLVD, TARZANA, CA 91356-2970
(818) 514-6484
(818) 514-6448
Mailing address
19652 VENTURA BLVD, TARZANA, CA 91356-2970
(818) 514-6484
(818) 514-6448

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
02/16/2022
Last updated
09/21/2024
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