MEDICARE: METTO 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
1	247200000X	Other Technician	RCP 19698	CA

General Provider Information

NPI Number	:	1841435567
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METTO INC

Provider Business Mailing Address
First Line	:	11755 VICTORY BLVD STE 212
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91606-3460
Country	:	US
Telephone Number	:	818-508-0880
Fax Number	:

Provider Business Practice Location Address
First Line	:	11755 VICTORY BLVD STE 212
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91606-3460
Country	:	US
Telephone Number	:	818-508-0880
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. ARTUR MANASARIAN
Credential	:
Telephone Number	:	818-508-0880

Provider Enumeration Date	:	12/09/2008
Last Update Date	:	12/09/2008

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