GAVIN HERBERT CO.
Medical Equipment Supplier Yellow Pages
Los Angeles, California
Provider NPI: 1265502348
Organization Information:Organization Name: GAVIN HERBERT CO.
Practice Location:
11600 WILSHIRE BLVD. LOS ANGELES, CA 90025 US
Tel: 310-479-0960 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
11600 WILSHIRE BLVD. LOS ANGELES, CA 90025 US
Tel: 310-479-0960 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers Pharmacy | ||
N | 3336C0004X | Suppliers Pharmacy | ||
Y | 332B00000X | Suppliers Durable Medical Equipment & Medical Supplies |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PHA165950 | CA | 05 | |
PK | 1995613 | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin