Good Shepard Medical Supply

LBN: Harrison M Iriafen
Good Shepard Medical Supply is an health care organization with primary practice located at 14640 Victory Blvd Suite 205, Van Nuys CA 91411-1623. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Harrison M Iriafen can be contacted via phone (818) 785-3584, or through Iriafen, Harrison M via phone (818) 785-3584.

Contact Information

Primary practice address
14640 Victory Blvd Suite 205 Van Nuys CA 91411-1623
Phone: (818) 785-3584
Fax: (818) 785-7910
Website:
Map and Directions
Authorized official contact:
Name: Iriafen, Harrison M
Phone: (818) 785-3584

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1508046004
LBN Legal business name Harrison M Iriafen
DBA Doing business as Good Shepard Medical Supply
Authorized official Iriafen, Harrison M
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2007
Last updated Jun 17th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508046004 NPPES
California MEDICAID DME03397F

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