Healthcare Provider Details

I. General information

NPI: 1073066858
Provider Name (Legal Business Name): INS MEDICAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2016
Last Update Date: 07/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

440 HINDRY AVE UNIT F1
INGLEWOOD CA
90301-2031
US

IV. Provider business mailing address

8726 S SEPULVEDA BLVD STE D #B-12
LOS ANGELES CA
90045
US

V. Phone/Fax

Practice location:
  • Phone: 877-513-5810
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BD1200X
TaxonomyDialysis Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MRS. FARAH KOHAN
Title or Position: CEO
Credential:
Phone: 310-505-1374