Organization
PRO CARE DME SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AVET GEVORGYAN (OWNER)
(323) 661-6533
Entity
Organization
Contact information
Practice address
3401 GLENDALE BLVD, LOS ANGELES, CA 90039-1814
(323) 661-6533
(323) 661-6524
Mailing address
3401 GLENDALE BLVD, LOS ANGELES, CA 90039-1814
(323) 661-6533
(323) 661-6524
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
103745
CA
Other
Enumeration date
06/01/2006
Last updated
01/26/2008
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