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NPI Code Detail

MEDICARE: MMK MEDICAL PRODUCTS INC.

MEDICARE: MMK MEDICAL PRODUCTS 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 Supplies000246405400013CA

General Provider Information

NPI Number : 1568789196
Entity Type Code : Organization
Provider Name (Legal Business Name) : MMK MEDICAL PRODUCTS INC.
Provider Business Mailing Address
First Line : 5430 CAHUENGA BLVD
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91601-2917
Country : US
Telephone Number : 818-506-4000
Fax Number : 818-506-4040
Provider Business Practice Location Address
First Line : 5430 CAHUENGA BLVD
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91601-2917
Country : US
Telephone Number : 818-506-4000
Fax Number : 818-506-4040
Authorized Official
Title or Position : PRESIDENT CEO
Name : MR. FARKHOD ADKHAMOV
Credential :
Telephone Number : 818-506-4000
Provider Enumeration Date : 04/21/2010
Last Update Date : 11/29/2010

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Directions to “MMK MEDICAL PRODUCTS INC. ” Practice Location

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