Organization
MEDICAL SUPPLY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAYA STOLPNER (PARTNER)
(323) 666-1185
Entity
Organization
Contact information
Practice address
4870 SANTA MONICA BLVD., LOS ANGELES, CA 90029
(323) 666-1185
(323) 852-4936
Mailing address
PO BOX 931450, LOS ANGELES, CA 90093-1450
(323) 666-1185
(323) 852-4936
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
100574
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6617827
MEDICAL
CA
Enumeration date
07/20/2006
Last updated
10/14/2013
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