Healthcare Provider Details

I. General information

NPI: 1437160926
Provider Name (Legal Business Name): KARE FOODS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 02/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11309 VENTURA BLVD
STUDIO CITY CA
91604-3188
US

IV. Provider business mailing address

11309 VENTURA BLVD
STUDIO CITY CA
91604-3188
US

V. Phone/Fax

Practice location:
  • Phone: 818-506-0776
  • Fax: 818-506-9055
Mailing address:
  • Phone: 818-506-0776
  • Fax: 818-506-9055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPHY 51656
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHY 51656
License Number StateCA

VIII. Authorized Official

Name: MR. VARTAN V TABAKIAN
Title or Position: PRES
Credential:
Phone: 818-506-0776