MEDICARE: BEST HOME 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	:	1649401118
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEST HOME MEDICAL SUPPLY

Provider Business Mailing Address
First Line	:	4924 BALBOA BLVD # 446
Second Line	:
City	:	ENCINO
State	:	CA
Zip	:	91316-3402
Country	:	US
Telephone Number	:	818-516-9991
Fax Number	:

Provider Business Practice Location Address
First Line	:	4924 BALBOA BLVD # 446
Second Line	:
City	:	ENCINO
State	:	CA
Zip	:	91316-3402
Country	:	US
Telephone Number	:	818-516-9991
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SHOHREH POURMOUSSA
Credential	:
Telephone Number	:	818-516-9991

Provider Enumeration Date	:	08/01/2009
Last Update Date	:	08/01/2009

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Directions to “BEST HOME MEDICAL SUPPLY ” Practice Location

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