Iv League, Inc

LBN: Iv League, Inc
Iv League, Inc is an health care organization with primary practice located at 6076 Bristol Parkway #104, Culver City CA 90230-8802. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Home Infusion Therapy Pharmacy is the primary health care specialty. Iv League, Inc can be contacted via phone (310) 645-1500, or through Khalkhali, Farzin via phone (310) 645-1500.

Contact Information

Primary practice address
6076 Bristol Parkway #104 Culver City CA 90230-8802
Fax: (310) 645-6464
Website:
Authorized official contact:
Name: Khalkhali, Farzin PHD

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X PHY45770 California
Suppliers / Parenteral & Enteral Nutrition 332BP3500X PHY45770 California
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X PHY45770 California
Suppliers / Specialty Pharmacy 3336S0011X PHY45770 California

Profile Details

NPI number 1831241033
LBN Legal business name Iv League, Inc
DBA Doing business as
Authorized official Khalkhali, Farzin PHD
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2007
Last updated Dec 23rd, 2009 - about 15 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 1831241033 NPPES
California Other PHY45770 PHARMACY LICENSE
California MEDICAID PHA457700 PHARMACY LICENSE

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