Provider Demographics
NPI:1457412199
Name:DAVID ORKHOV
Entity Type:Organization
Organization Name:DAVID ORKHOV
Other - Org Name:ALPHACARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:MARINA
Authorized Official - Middle Name:ORKHOV
Authorized Official - Last Name:BEZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-506-1344
Mailing Address - Street 1:12507 OXNARD ST
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91606-4444
Mailing Address - Country:US
Mailing Address - Phone:818-506-1344
Mailing Address - Fax:818-506-6919
Practice Address - Street 1:12507 OXNARD ST
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91606-4444
Practice Address - Country:US
Practice Address - Phone:818-506-1344
Practice Address - Fax:818-506-6919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2008-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101039332B00000X, 332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1164920001Medicare NSC