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Organization
LUNA MEDICAL SUPPLY
Active
Organization
LUNA MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HRATCH DERGHAZARIAN (PRESIDENT/SOLE OWNER)
(818) 623-8880
Entity
Organization
Contact information
Practice address
12218 VICTORY BLVD, NORTH HOLLYWOOD, CA 91606-3207
(818) 623-8880
(818) 623-8881
Mailing address
12218 VICTORY BLVD, NORTH HOLLYWOOD, CA 91606-3207
(818) 623-8880
(818) 623-8881
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
08/30/2006
Last updated
08/22/2020
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