# AVH MEDICAL SUPPLY INC

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

## Provider details

- **NPI number:** 1821268541
- **Authorized official:** KAKHI SHUSHIASHVILI (PRESEDNT)
- **Authorized official phone:** (818) 842-0501

## Contact information

- **Practice address:** 1113 N HOLLYWOOD WAY, BURBANK, CA 91505-2528
- **Practice address phone:** (818) 842-0501
- **Practice address fax:** (818) 842-0584
- **Mailing address:** 1113 N HOLLYWOOD WAY, BURBANK, CA 91505-2528
- **Mailing address phone:** (818) 842-0501
- **Mailing address fax:** (818) 842-0584

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 000231817600010 | CA | Yes |

## Other

- **Enumeration date:** 03/10/2008
- **Last updated:** 01/08/2010