La Vail
NPI #1811013642 in Seal Beach, California
Provider Information
- NPI Number
- 1811013642
- Entity Type
- Organization
- Organization Name
- La Vail
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Mar 22, 2007
- Last Updated
- Nov 20, 2007
Practice Location
- Address
- 1021 PACIFIC COAST HWY
- City
- Seal Beach
- State
- California
- ZIP Code
- 90740-6214
- Phone
- (562) 596-1452
Authorized Official
- Name
- MRS. SHERILL A RADTKE
- Title
- OWNER
- Phone
- (562) 596-1452
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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