Provider Demographics
NPI:1598399305
Name:INCOMPATIBLES INC
Entity Type:Organization
Organization Name:INCOMPATIBLES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SEYED
Authorized Official - Middle Name:SHAHRAM
Authorized Official - Last Name:MIRSALEHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-917-2528
Mailing Address - Street 1:7108 DE SOTO AVE UNIT 103B
Mailing Address - Street 2:
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91303-3209
Mailing Address - Country:US
Mailing Address - Phone:818-917-2528
Mailing Address - Fax:
Practice Address - Street 1:7108 DE SOTO AVE UNIT 103B
Practice Address - Street 2:
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91303-3209
Practice Address - Country:US
Practice Address - Phone:818-917-2528
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-02
Last Update Date:2020-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies