Provider Demographics
NPI:1649401118
Name:BEST HOME MEDICAL SUPPLY
Entity Type:Organization
Organization Name:BEST HOME MEDICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHOHREH
Authorized Official - Middle Name:
Authorized Official - Last Name:POURMOUSSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-516-9991
Mailing Address - Street 1:4924 BALBOA BLVD # 446
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316-3402
Mailing Address - Country:US
Mailing Address - Phone:818-516-9991
Mailing Address - Fax:
Practice Address - Street 1:4924 BALBOA BLVD # 446
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316-3402
Practice Address - Country:US
Practice Address - Phone:818-516-9991
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-01
Last Update Date:2009-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies