MEDICARE: CV HEALTH SERVICES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	PHY44275	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568507598
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CV HEALTH SERVICES, INC.

Provider Business Mailing Address
First Line	:	8215 VAN NUYS BLVD
Second Line	:	SUITE 102
City	:	PANORAMA CITY
State	:	CA
Zip	:	91402-4810
Country	:	US
Telephone Number	:	818-787-4490
Fax Number	:	818-787-4494

Provider Business Practice Location Address
First Line	:	8215 VAN NUYS BLVD
Second Line	:	SUITE 102
City	:	PANORAMA CITY
State	:	CA
Zip	:	91402-4810
Country	:	US
Telephone Number	:	818-787-4490
Fax Number	:	818-787-4494

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JOSEPH VIVO
Credential	:	PHARMD.
Telephone Number	:	818-787-4490

Provider Enumeration Date	:	02/20/2007
Last Update Date	:	08/22/2020

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Directions to “CV HEALTH SERVICES, INC. ” Practice Location

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