# LUSTER 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:** 1811100803
- **Authorized official:** GEVORG MINASYAN (PRESIDENT)
- **Authorized official phone:** (818) 255-4944

## Contact information

- **Practice address:** 13136 SATICOY ST STE M, NORTH HOLLYWOOD, CA 91605-3430
- **Practice address phone:** (818) 255-4944
- **Practice address fax:** (818) 255-4966
- **Mailing address:** 13136 SATICOY ST STE M, NORTH HOLLYWOOD, CA 91605-3430
- **Mailing address phone:** (818) 255-4944
- **Mailing address fax:** (818) 255-4966

## Taxonomy

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

## Other

- **Enumeration date:** 05/07/2007
- **Last updated:** 08/22/2020