Provider Demographics
NPI:1114113347
Name:GLOBAL MEDICAL NETWORK, INC
Entity Type:Organization
Organization Name:GLOBAL MEDICAL NETWORK, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ODARO
Authorized Official - Middle Name:OMOLARA
Authorized Official - Last Name:OWEN
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MSN
Authorized Official - Phone:213-613-1137
Mailing Address - Street 1:4470 W SUNSET BLVD
Mailing Address - Street 2:STE 374
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90027-6302
Mailing Address - Country:US
Mailing Address - Phone:213-613-1137
Mailing Address - Fax:213-617-8292
Practice Address - Street 1:4470 W SUNSET BLVD
Practice Address - Street 2:STE 374
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027-6302
Practice Address - Country:US
Practice Address - Phone:213-613-1137
Practice Address - Fax:213-617-8292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-21
Last Update Date:2007-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2806725332BP3500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition