VIVIANO CUSTOM SHOE COMPANY INC. NPI 1457641094

NPI Information

NPI: 1457641094
Provider Name: VIVIANO CUSTOM SHOE COMPANY, INC.
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
6279 VARIEL AVE STE C
WOODLAND HILLS, CA
ZIP 91367
Phone: (818) 292-8250
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VIVIANO CUSTOM SHOE COMPANY, INC. is a customized equipment durable medical equipment medical supplies in Woodland Hills, CA. VIVIANO CUSTOM SHOE COMPANY, INC. NPI is 1457641094. The provider is registered as an organization entity type.

The provider's business location address is:

6279 VARIEL AVE STE C
WOODLAND HILLS, CA
ZIP 91367-590
Phone: (818) 292-8250
Fax: (818) 292-8690

The provider's authorized official is Joseph Frank Viviano .
The authorized official title is President and has the following contact phone number (818) 292-8250.

The enumeration date for this NPI number is 4/16/2011 and was last updated on 10/14/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	335E00000X	Prosthetic/Orthotic Supplier		101-697629	CALIFORNIA	No
2	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment	101-697629	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6576890001	MEDICARE NSC	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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