Organization
PROVECTA MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REZA JABARZADE (CEO)
(424) 281-8834
Entity
Organization
Contact information
Practice address
6333 WILSHIRE BLVD FL 1, LOS ANGELES, CA 90048-5702
(310) 861-3738
Mailing address
6333 WILSHIRE BLVD FL 1, LOS ANGELES, CA 90048-5702
(310) 861-3738
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/22/2023
Last updated
12/05/2023
About Stedi
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