# SYCAMORE MEDICAL SUPPLY INC.

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

## Provider details

- **NPI number:** 1144375023
- **Authorized official:** MR. ANDRANIK MIRZOYAN (PRESIDENT)
- **Authorized official phone:** (323) 465-5654

## Contact information

- **Practice address:** 7080 HOLLYWOOD BLVD, STE 920, LOS ANGELES, CA 90028-6906
- **Practice address phone:** (323) 465-5654
- **Practice address fax:** (323) 465-5398
- **Mailing address:** 7080 HOLLYWOOD BLVD, STE 920, LOS ANGELES, CA 90028-6906
- **Mailing address phone:** (323) 465-5654
- **Mailing address fax:** (323) 465-5398

## Taxonomy

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

## Other

- **Enumeration date:** 01/24/2007
- **Last updated:** 08/22/2020