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Organization

PRESTIGE MEDICAL SUPPLY LA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VYACHESLAV S SAMARKIN (OWNER)
(323) 578-7815
Entity
Organization

Contact information

Practice address
5161 MELROSE AVE, LOS ANGELES, CA 90038-4116
(323) 578-7815
Mailing address
5161 MELROSE AVE, LOS ANGELES, CA 90038-4116
(323) 578-7815

Taxonomy

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

Other

Enumeration date
02/02/2009
Last updated
03/31/2010
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