# AG MEDICAL SUPPLY INC

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

## Provider details

- **NPI number:** 1124257118
- **Authorized official:** GAIANE AROUSH (PRESIDENT)
- **Authorized official phone:** (818) 846-1411

## Contact information

- **Practice address:** 4020 W MAGNOLIA BLVD STE C, BURBANK, CA 91505-2828
- **Practice address phone:** (818) 846-1111
- **Practice address fax:** (818) 276-8371
- **Mailing address:** 4020 W MAGNOLIA BLVD STE C, BURBANK, CA 91505-2828
- **Mailing address phone:** (818) 846-1111
- **Mailing address fax:** (818) 276-8371

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 101-252329 | CA | Yes |

## Other

- **Enumeration date:** 07/10/2009
- **Last updated:** 07/27/2010