MEDICARE: KAZZ MEDICAL SUPPLY SERVICES

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	332B00000X

General Provider Information

NPI Number	:	1720062482
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KAZZ MEDICAL SUPPLY SERVICES

Provider Business Mailing Address
First Line	:	1680 VINE ST
Second Line	:	SUITE 1018
City	:	HOLLYWOOD
State	:	CA
Zip	:	90028-8804
Country	:	US
Telephone Number	:	323-461-0020
Fax Number	:	323-461-0244

Provider Business Practice Location Address
First Line	:	1680 VINE ST
Second Line	:	SUITE 1018
City	:	HOLLYWOOD
State	:	CA
Zip	:	90028-8804
Country	:	US
Telephone Number	:	323-461-0020
Fax Number	:	323-461-0244

Authorized Official
Title or Position	:	DIRECTOF OF OPERATIONS
Name	:	MR. ABIODUN L AKANDE
Credential	:
Telephone Number	:	323-461-0020

Provider Enumeration Date	:	12/05/2005
Last Update Date	:	08/22/2020

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Directions to “KAZZ MEDICAL SUPPLY SERVICES ” Practice Location

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