# S J MEDICAL SUPPLY, INC

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

## Provider details

- **NPI number:** 1265670350
- **Authorized official:** MR. ARTOUR KAGRAMANIAN (OWNER)
- **Authorized official phone:** (408) 998-2925

## Contact information

- **Practice address:** 840 WILLOW STREET, UNIT A300, SAN JOSE, CA 95125
- **Practice address phone:** (408) 998-2925
- **Practice address fax:** (408) 998-2931
- **Mailing address:** 840 WILLOW ST UNIT A300, SAN JOSE, CA 95125-2381
- **Mailing address phone:** (408) 998-2925
- **Mailing address fax:** (408) 998-2931

## Taxonomy

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

## Other

- **Enumeration date:** 01/27/2009
- **Last updated:** 04/12/2010
