# MEDIQUEST, INC

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

## Provider details

- **NPI number:** 1407005515
- **Authorized official:** MR. DANIEL MANUKIAN (CEO)
- **Authorized official phone:** (818) 567-0164

## Contact information

- **Practice address:** 2119 N GLENOAKS BLVD, BURBANK, CA 91504-2828
- **Practice address phone:** (818) 567-0164
- **Practice address fax:** (818) 567-0425
- **Mailing address:** 2119 N GLENOAKS BLVD, BURBANK, CA 91504-2828
- **Mailing address phone:** (818) 567-0164
- **Mailing address fax:** (818) 567-0425

## Taxonomy

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

## Other

- **Enumeration date:** 09/12/2008
- **Last updated:** 12/17/2009