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Organization
MID VALLEY MEDICAL SUPPLY, INC.
Active
Organization
MID VALLEY MEDICAL SUPPLY, INC.
Active
Other names
Mid Valley Medical Supply, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YERVAND KHACHATRYAN (PRESIDEN)
(818) 785-8315
Entity
Organization
Contact information
Practice address
15246 SATICOY ST, VAN NUYS, CA 91405-1623
(818) 785-8315
(818) 785-8316
Mailing address
15246 SATICOY ST, VAN NUYS, CA 91405-1623
(818) 785-8315
(818) 785-8316
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
CA
Other
Enumeration date
07/23/2007
Last updated
04/27/2009
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