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Organization
STAT HOMEHEALTH MEDICAL SUPPLY, LLC.
Active
Organization
STAT HOMEHEALTH MEDICAL SUPPLY, LLC.
Active
Other names
STAT Homehealth Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NIKO OGANESIAN RCP (PRESIDENT)
(562) 622-1002
Entity
Organization
Contact information
Practice address
11411 BROOKSHIRE AVE, SUITE 505, DOWNEY, CA 90241-5003
(562) 622-1002
(562) 622-1058
Mailing address
11411 BROOKSHIRE AVE, SUITE 505, DOWNEY, CA 90241-5003
(562) 622-1002
(562) 622-1058
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
47463
CA
Other
Enumeration date
08/08/2007
Last updated
08/08/2007
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