# LIPO MEDICAL SUPPLY INC

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

## Provider details

- **NPI number:** 1487854386
- **Authorized official:** LIPARIT CHARCHYAN (PRESIDENT)
- **Authorized official phone:** (818) 994-4948

## Contact information

- **Practice address:** 13711 BURBANK BLVD, VAN NUYS, CA 91401-5040
- **Practice address phone:** (818) 994-4948
- **Practice address fax:** (818) 994-4533
- **Mailing address:** 13711 BURBANK BLVD, VAN NUYS, CA 91401-5040
- **Mailing address phone:** (818) 994-4948
- **Mailing address fax:** (818) 994-4533

## Taxonomy

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

## Other

- **Enumeration date:** 07/19/2007
- **Last updated:** 11/20/2007