# BURBANK MEDICAL SUPPLY, INC.

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

## Provider details

- **NPI number:** 1851391965
- **Authorized official:** POURANG NASSI (PRESIDENT)
- **Authorized official phone:** (818) 845-2884

## Contact information

- **Practice address:** 4302 W VICTORY BLVD, BURBANK, CA 91505-1334
- **Practice address phone:** (818) 845-2884
- **Practice address fax:** (818) 845-3177
- **Mailing address:** 4302 W VICTORY BLVD, BURBANK, CA 91505-1334
- **Mailing address phone:** (818) 845-2884
- **Mailing address fax:** (818) 845-3177

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 53069 | CA | Yes |

## Other

- **Enumeration date:** 07/29/2005
- **Last updated:** 02/17/2010