Diabetic Medic, INC
Durable Medical Equipment & Medical Supplies in Canoga Park, CA. Organization (NPI-2).
NPI number1982115895
StatusActive
Last updated in NPPESFeb 13, 2020
Details
- NPI
- 1982115895
- Entity type
- Organization (NPI-2)
- Legal business name
- Diabetic Medic, INC
- Organization subpart
- No
- Enumeration date
- Oct 18, 2017
- Certification date
- Feb 13, 2020
- Last updated
- Feb 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
Practice location
20944 Sherman Way Ste 206aCanoga Park, CA 91303-3631
Phone 747-900-4292
Mailing address
20944 Sherman Way Ste 115Canoga Park, CA 91303-3632
Authorized official
Ronald Green
Ceo
7606416571
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