# AGC MEDICAL SUPPLY INC.

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

## Provider details

- **NPI number:** 1649593385
- **Authorized official:** ARSEN CHIVCHYAN (PRESIDENT)
- **Authorized official phone:** (760) 962-0100

## Contact information

- **Practice address:** 15366 11TH ST, SUITE C, VICTORVILLE, CA 92395-3726
- **Practice address phone:** (760) 962-0100
- **Practice address fax:** (760) 962-9919
- **Mailing address:** 15366 11TH ST, SUITE C, VICTORVILLE, CA 92395-3726
- **Mailing address phone:** (760) 962-0100
- **Mailing address fax:** (760) 962-9919

## Taxonomy

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

## Other

- **Enumeration date:** 03/09/2010
- **Last updated:** 08/16/2010