Provider Demographics
NPI:1326835190
Name:CAREWELL MED SUPPLY
Entity type:Organization
Organization Name:CAREWELL MED SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAMIL
Authorized Official - Middle Name:
Authorized Official - Last Name:SALIKHOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-646-0006
Mailing Address - Street 1:13701 BURBANK BLVD
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-5040
Mailing Address - Country:US
Mailing Address - Phone:818-646-0006
Mailing Address - Fax:
Practice Address - Street 1:13701 BURBANK BLVD
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91401-5040
Practice Address - Country:US
Practice Address - Phone:818-646-0006
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CAREWELL MED SUPPLY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies