Drv Medical Inc. | |
5901 W Olympic Blvd Ste 401 Los Angeles CA 90036-4669 | |
(310) 651-9017 | |
(323) 954-1081 |
Full Name | Drv Medical Inc. |
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Speciality | Clinic/Center |
Location | 5901 W Olympic Blvd Ste 401, Los Angeles, California |
Authorized Official Name and Position | Koppany Visnyei (OWNER/PRESIDENT) |
Authorized Official Contact | 3106519017 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Drv Medical Inc. 5901 W Olympic Blvd Ste 401 Los Angeles CA 90036-4669 Ph: (310) 651-9017 | Drv Medical Inc. 5901 W Olympic Blvd Ste 401 Los Angeles CA 90036-4669 Ph: (310) 651-9017 |
NPI Number | 1811410046 |
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Provider Enumeration Date | 07/19/2017 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 4284990219 |
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Medicare Enrollment ID | O20171108001158 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811410046 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Koppany Visnyei |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1770897365 PECOS PAC ID: 2163664566 Enrollment ID: I20130814000966 |
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