Provider Demographics
NPI:1518178250
Name:PERFECT FIT, INC.
Entity Type:Organization
Organization Name:PERFECT FIT, INC.
Other - Org Name:FOOT SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:JOAN
Authorized Official - Last Name:MYSEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-728-1414
Mailing Address - Street 1:4454 VAN NUYS BLVD STE G
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-5753
Mailing Address - Country:US
Mailing Address - Phone:818-728-1414
Mailing Address - Fax:818-728-1515
Practice Address - Street 1:4454 VAN NUYS BLVD STE G
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-5753
Practice Address - Country:US
Practice Address - Phone:818-728-1414
Practice Address - Fax:818-728-1515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5680440001Medicare NSC