# FAMILY MEDICAL SUPPLY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FAMILY MEDICAL SUPPLY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093744732
- **Authorized official:** MR. OGANES MADARYAN (OWNER)
- **Authorized official phone:** (818) 997-9974

## Contact information

- **Practice address:** 6164 1/4 SEPULVEDA BLVD, VAN NUYS, CA 91411-2503
- **Practice address phone:** (818) 997-9974
- **Practice address fax:** (818) 997-9978
- **Mailing address:** 6164 1/4 SEPULVEDA BLVD, VAN NUYS, CA 91411-2503
- **Mailing address phone:** (818) 997-9974
- **Mailing address fax:** (818) 997-9978

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 761667-13 | CA | Yes |

## Other

- **Enumeration date:** 07/03/2006
- **Last updated:** 08/12/2008