Organization
TOLUCA LAKE MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KARINE KASABYAN (PRESIDENT)
(818) 980-6611
Entity
Organization
Contact information
Practice address
4510 FORMAN AVE, TOLUCA LAKE, CA 91602-1615
(818) 980-6611
(818) 980-6621
Mailing address
4510 FORMAN AVE, TOLUCA LAKE, CA 91602-1615
(818) 980-6611
(818) 980-6621
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/04/2007
Last updated
12/29/2008
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