Med Star Agency, INC.
Home Health in Los Angeles, CA. Organization (NPI-2).
NPI number1003014697
StatusActive
Last updated in NPPESAug 7, 2007
Details
- NPI
- 1003014697
- Entity type
- Organization (NPI-2)
- Legal business name
- Med Star Agency, INC.
- Organization subpart
- No
- Enumeration date
- Jul 5, 2007
- Last updated
- Aug 7, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Practice location
7424 Crenshaw BlvdLos Angeles, CA 90043-4932
Phone 404-543-9163
Mailing address
7424 Crenshaw BlvdLos Angeles, CA 90043-4932
Phone 404-543-9163
Authorized official
Pauline Badiki
Ceo, Director
4045439163
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