# AD MEDICAL SUPPLY INC.

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

## Provider details

- **NPI number:** 1659607695
- **Authorized official:** MRS. ANNA DAVTYAN (MRS.)
- **Authorized official phone:** (818) 993-9030

## Contact information

- **Practice address:** 21033 DEVONSHIRE ST., CHATSWORTH, CA 91311
- **Practice address phone:** (818) 993-9030
- **Practice address fax:** (818) 993-9031
- **Mailing address:** 21033 DEVONSHIRE ST., CHATSWORTH, CA 91311
- **Mailing address phone:** (818) 993-9030
- **Mailing address fax:** (818) 993-9031

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0002459724-0001-0 | CA | Yes |

## Other

- **Enumeration date:** 10/27/2009
- **Last updated:** 12/08/2010
