Magic Mangosteen

LBN: Media Mogul,Inc
Magic Mangosteen is an health care organization with primary practice located at 1223 W 127Th St , Los Angeles CA 90044-1021. The organization recently has only one registered license in Suppliers / Parenteral & Enteral Nutrition, which is considered as the primary health care specialty. Media Mogul,Inc can be contacted via phone (323) 375-9973, or through Du Boc Ali, Ray via phone (323) 375-9973.

Contact Information

Primary practice address
1223 W 127Th St Los Angeles CA 90044-1021
Phone: (323) 375-9973
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Du Boc Ali, Ray DIRECTOR
Phone: (323) 375-9973

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Parenteral & Enteral Nutrition 332BP3500X

Profile Details

NPI number 1295976108
LBN Legal business name Media Mogul,Inc
DBA Doing business as Magic Mangosteen
Authorized official Du Boc Ali, Ray DIRECTOR
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 23rd, 2009
Last updated Mar 23rd, 2009 - about 17 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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