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NPI Code Detail

MEDICARE: INTEGRATED SUPPORT SOLUTIONS, INC

MEDICARE: INTEGRATED SUPPORT SOLUTIONS, 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
1261QA0600XAdult Day Care Clinic/CenterCA

General Provider Information

NPI Number : 1073720512
Entity Type Code : Organization
Provider Name (Legal Business Name) : INTEGRATED SUPPORT SOLUTIONS, INC
Provider Business Mailing Address
First Line : 14558 SYLVAN ST
Second Line : 1ST FLOOR
City : VAN NUYS
State : CA
Zip : 91411-2324
Country : US
Telephone Number : 818-787-2828
Fax Number : 818-787-2840
Provider Business Practice Location Address
First Line : 14558 SYLVAN ST
Second Line : 1ST FLOOR
City : VAN NUYS
State : CA
Zip : 91411-2324
Country : US
Telephone Number : 818-787-2828
Fax Number : 818-787-2840
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. MARK SHERMAN
Credential :
Telephone Number : 818-787-2828
Provider Enumeration Date : 05/16/2007
Last Update Date : 08/22/2020

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Directions to “INTEGRATED SUPPORT SOLUTIONS, INC ” Practice Location

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