# MAXI-MED SUPPLES, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Maxi-Med Supples
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962738468
- **Authorized official:** MRS. ALENUSH ELLEN AYVAZYAN (PRESDENT)
- **Authorized official phone:** (805) 578-8668

## Contact information

- **Practice address:** 2315 KUEHNER DRIVE, \#105, SIMI VALLEY, CA 93063-3960
- **Practice address phone:** (805) 578-8668
- **Mailing address:** 2315 KUEHNER DRIVE, SUITE \#105, SIMI VALLEY, CA 93063-3960
- **Mailing address phone:** (805) 978-8668

## Taxonomy

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

## Other

- **Enumeration date:** 10/19/2009
- **Last updated:** 04/24/2013