# NORTHRIDGE PLAZA MEDICAL SUPPLY

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

## Provider details

- **NPI number:** 1134217896
- **Authorized official:** ABRAHAM TATOYAN (PRESIDENT)
- **Authorized official phone:** (818) 727-7222

## Contact information

- **Practice address:** 18529 ROSCOE BLVD, NORTHRIDGE, CA 91324-4632
- **Practice address phone:** (818) 727-7222
- **Practice address fax:** (818) 727-1624
- **Mailing address:** 18529 ROSCOE BLVD, NORTHRIDGE, CA 91324-4632
- **Mailing address phone:** (818) 727-7222
- **Mailing address fax:** (818) 727-1624

## Taxonomy

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

## Other

- **Enumeration date:** 10/10/2006
- **Last updated:** 07/21/2022