Healthcare Provider Details

I. General information

NPI: 1497793871
Provider Name (Legal Business Name): SARAH MEDICAL EQUIPMENT INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2006
Last Update Date: 12/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14412 HAMLIN ST
VAN NUYS CA
91401-1409
US

IV. Provider business mailing address

2632 LINCOLN BLVD
SANTA MONICA CA
90405-4620
US

V. Phone/Fax

Practice location:
  • Phone: 310-396-5258
  • Fax: 310-496-2765
Mailing address:
  • Phone: 310-396-5258
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License NumberSR AS 99883063
License Number StateCA

VIII. Authorized Official

Name: MAHMOUD SALARKIA
Title or Position: CEO
Credential:
Phone: 310-396-5258