Provider Demographics
NPI:1457771446
Name:3V MEDICAL LLC
Entity Type:Organization
Organization Name:3V MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO /MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ARASH
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAVORI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-645-2117
Mailing Address - Street 1:1264 DEVON AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90024-5344
Mailing Address - Country:US
Mailing Address - Phone:818-645-2117
Mailing Address - Fax:206-350-3315
Practice Address - Street 1:1264 DEVON AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024-5344
Practice Address - Country:US
Practice Address - Phone:818-645-2117
Practice Address - Fax:206-350-3315
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-17
Last Update Date:2014-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies