# GHL MEDICAL SUPPLY

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

## Provider details

- **NPI number:** 1053497446
- **Authorized official:** KHATCHATOUR KHACHIK MADARIAN (SOLE OWNER)
- **Authorized official phone:** (818) 763-2557

## Contact information

- **Practice address:** 12444 VICTORY BLVD, SUITE 100, NORTH HOLLYWOOD, CA 91606-3156
- **Practice address phone:** (818) 763-2557
- **Practice address fax:** (818) 763-2559
- **Mailing address:** 12444 VICTORY BLVD, SUITE 100, NORTH HOLLYWOOD, CA 91606-3156
- **Mailing address phone:** (818) 763-2557
- **Mailing address fax:** (818) 763-2559

## Taxonomy

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

## Other

- **Enumeration date:** 10/27/2006
- **Last updated:** 08/22/2020