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Organization
MEDCORSA LLC
Active
Organization
MEDCORSA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID VAZGEN KAPUTIKYAN (MEMBER)
(818) 477-7700
Entity
Organization
Contact information
Practice address
8523 LANKERSHIM BLVD STE 2, SUN VALLEY, CA 91352-3127
(818) 488-0098
Mailing address
8523 LANKERSHIM BLVD STE 2, SUN VALLEY, CA 91352-3127
(818) 488-0098
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
332BN1400X
Nursing Facility Supplies (DME)
—
NULL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
NULL
332BX2000X
Oxygen Equipment & Supplies (DME)
—
NULL
Other
Enumeration date
09/11/2026
Last updated
09/11/2026
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