# FIVE STAR MEDICAL SUPPL INC.

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

## Provider details

- **NPI number:** 1447431168
- **Authorized official:** AIDA HOVSEPYAN (PRESIDENT)
- **Authorized official phone:** (818) 764-0278

## Contact information

- **Practice address:** 7457 LAUREL CANYON BLVD, NORTH HOLLYWOOD, CA 91605-3135
- **Practice address phone:** (818) 764-0278
- **Practice address fax:** (818) 764-0279
- **Mailing address:** 7457 LAUREL CANYON BLVD, NORTH HOLLYWOOD, CA 91605-3135
- **Mailing address phone:** (818) 764-0278

## Taxonomy

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

## Other

- **Enumeration date:** 11/21/2007
- **Last updated:** 11/20/2008