MEDICARE: IVEDCO, LLC

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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1396471413
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IVEDCO, LLC

Provider Business Mailing Address
First Line	:	17777 CENTER COURT DR N STE 550
Second Line	:
City	:	CERRITOS
State	:	CA
Zip	:	90703-9337
Country	:	US
Telephone Number	:	800-435-3020
Fax Number	:

Provider Business Practice Location Address
First Line	:	6501 AMERICAS PKWY NE STE 1075
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87110-9111
Country	:	US
Telephone Number	:	800-435-3020
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SOHAIL MASOOD
Credential	:	PHARM. D.
Telephone Number	:	800-435-3020

Provider Enumeration Date	:	07/29/2022
Last Update Date	:	03/17/2026

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