MEDICARE: ALL VALLEY MEDICAL SUPPLY

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1568833119
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL VALLEY MEDICAL SUPPLY

Provider Business Mailing Address
First Line	:	7361 TOPANGA CANYON BLVD
Second Line	:
City	:	CANOGA PARK
State	:	CA
Zip	:	91303-3387
Country	:	US
Telephone Number	:	818-225-7705
Fax Number	:	818-225-1024

Provider Business Practice Location Address
First Line	:	7361 TOPANGA CANYON BLVD
Second Line	:
City	:	CANOGA PARK
State	:	CA
Zip	:	91303-3387
Country	:	US
Telephone Number	:	818-225-7705
Fax Number	:	818-225-1024

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. HELENE S GREENLINGER
Credential	:
Telephone Number	:	818-225-7705

Provider Enumeration Date	:	10/08/2015
Last Update Date	:	10/08/2015

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Directions to “ALL VALLEY MEDICAL SUPPLY ” Practice Location

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