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Organization
AID DEPOT MEDICAL SUPPLY
Active
Organization
AID DEPOT MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHACHIK HAKOBYAN (CEO)
(818) 398-6630
Entity
Organization
Contact information
Practice address
15664 MAIN ST STE 210, HESPERIA, CA 92345-3412
(818) 454-0653
Mailing address
15664 MAIN ST STE 210, HESPERIA, CA 92345-3412
(818) 454-0653
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
02/05/2024
Last updated
03/11/2024
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