# VICTORY CARE MEDICAL SUPPLY INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** VICTORY CARE MEDICAL SUPPLY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295847598
- **Authorized official:** AKAKI KARITCHASHVILI (PRESIDENT)
- **Authorized official phone:** (818) 763-4841

## Contact information

- **Practice address:** 6342 COLDWATER CANYON AVE, NORTH HOLLYWOOD, CA 91606-2911
- **Practice address phone:** (818) 763-4814
- **Practice address fax:** (818) 763-1362
- **Mailing address:** 6342 COLWATER CANYON AVE, NORTH HOLLYWOOD, CA 91606-2911
- **Mailing address phone:** (818) 763-4814
- **Mailing address fax:** (818) 763-1362

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0000779083-0001-0 | CA | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 01/08/2010