# STAT HOMEHEALTH MEDICAL SUPPLY, LLC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** STAT Homehealth Supplies
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295926640
- **Authorized official:** MR. NIKO OGANESIAN RCP (PRESIDENT)
- **Authorized official phone:** (562) 622-1002

## Contact information

- **Practice address:** 11411 BROOKSHIRE AVE, SUITE 505, DOWNEY, CA 90241-5003
- **Practice address phone:** (562) 622-1002
- **Practice address fax:** (562) 622-1058
- **Mailing address:** 11411 BROOKSHIRE AVE, SUITE 505, DOWNEY, CA 90241-5003
- **Mailing address phone:** (562) 622-1002
- **Mailing address fax:** (562) 622-1058

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 47463 | CA | Yes |

## Other

- **Enumeration date:** 08/08/2007
- **Last updated:** 08/08/2007