# INTERSTATE MEDICAL SUPPLY INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1508531377
- **Authorized official:** MR. HAIG CHRISTOPHER AVAKIAN COF (CEO)
- **Authorized official phone:** (949) 386-4054

## Contact information

- **Practice address:** 1096 N WESTERN AVE STE 202, LOS ANGELES, CA 90029-2340
- **Practice address phone:** (949) 386-4054
- **Practice address fax:** (800) 886-7086
- **Mailing address:** PO BOX 3342, GLENDALE, CA 91221-0342
- **Mailing address phone:** (949) 386-4054
- **Mailing address fax:** (800) 886-7086

## Taxonomy

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

## Other

- **Enumeration date:** 08/12/2021
- **Last updated:** 06/12/2025