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NPI Code Detail

MEDICARE: NOHO MEDICAL SUPPLY INC.

MEDICARE: NOHO MEDICAL SUPPLY 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
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1235327586
Entity Type Code : Organization
Provider Name (Legal Business Name) : NOHO MEDICAL SUPPLY INC.
Provider Business Mailing Address
First Line : 11755 VICTORY BLVD
Second Line : STE 140
City : NORTH HOLLYWOOD
State : CA
Zip : 91606-3423
Country : US
Telephone Number : 818-763-1470
Fax Number : 818-763-6057
Provider Business Practice Location Address
First Line : 11755 VICTORY BLVD
Second Line : STE 140
City : NORTH HOLLYWOOD
State : CA
Zip : 91606-3423
Country : US
Telephone Number : 818-763-1470
Fax Number : 818-763-6057
Authorized Official
Title or Position : PRESIDENT
Name : MRS. LUCINE OGANDGANYAN
Credential :
Telephone Number : 818-763-1470
Provider Enumeration Date : 10/11/2007
Last Update Date : 07/01/2008

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Directions to “NOHO MEDICAL SUPPLY INC. ” Practice Location

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