# ANAHIT GRIGORYAN

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

## Provider details

- **NPI number:** 1629080700
- **Authorized official:** MRS. ANAHIT GRIGORYAN (DME OWNER)
- **Authorized official phone:** (323) 257-5535

## Contact information

- **Practice address:** 4448 EAGLE ROCK BLVD STE A, LOS ANGELES, CA 90041-3512
- **Practice address phone:** (323) 257-5535
- **Practice address fax:** (323) 257-5396
- **Mailing address:** 4448 EAGLE ROCK BLVD STE A, LOS ANGELES, CA 90041-3512
- **Mailing address phone:** (323) 257-5535
- **Mailing address fax:** (323) 257-5396

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 101183 | CA | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 18131 | CA | — |
| 335E00000X | Prosthetic/Orthotic Supplier | C17386 | CA | — |

## Other

- **Enumeration date:** 08/13/2006
- **Last updated:** 12/15/2011