# LAVERNE MEDICAL EQUIPMENT, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023235702
- **Authorized official:** MS. MIRIAM MAKHTESYAN (PRESIDENT)
- **Authorized official phone:** (909) 539-1860

## Contact information

- **Practice address:** 1990 WALNUT ST, LA VERNE, CA 91750-5414
- **Practice address phone:** (909) 539-1860
- **Practice address fax:** (909) 539-1859
- **Mailing address:** 1990 WALNUT AVE, LA VERNE, CA 91750-5414
- **Mailing address phone:** (909) 539-1860

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 47208 | CA | Yes |

## Other

- **Enumeration date:** 04/20/2007
- **Last updated:** 03/24/2008