# T A MEDICAL SUPPLY

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

## Provider details

- **NPI number:** 1265477004
- **Authorized official:** MELKON GABRIYELYAN (OWNER)
- **Authorized official phone:** (818) 352-6810

## Contact information

- **Practice address:** 7906 FOOTHILL BLVD, SUNLAND, CA 91040-2937
- **Practice address phone:** (818) 352-6810
- **Practice address fax:** (818) 352-6811
- **Mailing address:** 3514 COMMUNITY AVE, GLENDALE, CA 91214-2522
- **Mailing address phone:** (818) 249-2919

## Taxonomy

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

## Other

- **Enumeration date:** 06/17/2006
- **Last updated:** 04/22/2008