| Drv Medical Inc | |
|
5901 W Olympic Blvd Ste 401 Los Angeles CA 90036-4669 | |
| (310) 651-9017 | |
| (323) 954-1081 |
| Full Name | Drv Medical Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5901 W Olympic Blvd Ste 401, Los Angeles, California |
| Authorized Official Name and Position | Koppany Visnyei (OWNER/PRESIDENT) |
| Authorized Official Contact | 3106519017 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Drv Medical Inc 5901 W Olympic Blvd Ste 401 Los Angeles CA 90036-4669 Ph: (310) 651-9017 | Drv Medical Inc 5901 W Olympic Blvd Ste 401 Los Angeles CA 90036-4669 Ph: (310) 651-9017 |
| NPI Number | 1811410046 |
|---|---|
| Provider Enumeration Date | 07/19/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 4284990219 |
|---|---|
| Medicare Enrollment ID | O20171108001158 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811410046 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Koppany Visnyei |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770897365 PECOS PAC ID: 2163664566 Enrollment ID: I20130814000966 |
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