# RST MEDICAL INC

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

## Provider details

- **NPI number:** 1184234791
- **Authorized official:** TALLIN MARTIROSSIAN PA-C (CEO/PA-C)
- **Authorized official phone:** (623) 760-7740

## Contact information

- **Practice address:** 18040 SHERMAN WAY STE 210, RESEDA, CA 91335-4656
- **Practice address phone:** (818) 796-2920
- **Mailing address:** 12272 WILLOWBEND LN, SYLMAR, CA 91342-5150
- **Mailing address phone:** (623) 760-7740

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |
| 251F00000X | Home Infusion Agency | — | NULL | — |
| 261QE0700X | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | — | NULL | — |
| 261QI0500X | Infusion Therapy Clinic/Center | — | NULL | — |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/07/2020
- **Last updated:** 08/07/2020