# MEDCORSA LLC

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

## Provider details

- **NPI number:** 1033029848
- **Authorized official:** DAVID VAZGEN KAPUTIKYAN (MEMBER)
- **Authorized official phone:** (818) 477-7700

## Contact information

- **Practice address:** 8523 LANKERSHIM BLVD STE 2, SUN VALLEY, CA 91352-3127
- **Practice address phone:** (818) 488-0098
- **Mailing address:** 8523 LANKERSHIM BLVD STE 2, SUN VALLEY, CA 91352-3127
- **Mailing address phone:** (818) 488-0098

## Taxonomy

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