Brilliant Care Medical Supply
Organization Active NPI Durable Medical Equipment & Medical Supplies · Hollywood, CA
NPI 1104923382 · NPPES record last updated Dec 3, 2007
Key facts
- NPI
- 1104923382
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- License
- 103134 (CA)
- Legal business name
- BRILLIANT CARE MEDICAL SUPPLY
- Practice address
- 1680 Vine St
220
Hollywood, CA 90028-8804 - Phone
- (323) 466-0077
- Fax
- (323) 466-7722
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Lookman L King
- Title
- Owner
- Phone
- (323) 466-0077
National Provider Directory
Locations
1680 Vine St
#220
Hollywood, CA 90028
Phone (323) 466-0077
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 103134 | CA | Yes |
Addresses
Primary practice location
1680 Vine St
220
Hollywood, CA 90028-8804
Mailing address
1680 Vine St
220
Hollywood, CA 90028-8804
Phone (323) 466-0077
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All providers in Hollywood, CA · Durable Medical Equipment & Medical Supplies in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.