Organization
VALLEY MEDICAL SUPPLIES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TY KACHADOORIAN (MANAGER)
(559) 801-5844
Entity
Organization
Contact information
Practice address
5627 N FIGARDEN DR STE 118, FRESNO, CA 93722-3498
(559) 284-1227
Mailing address
5627 N FIGARDEN DR STE 118, FRESNO, CA 93722-3498
(559) 284-1227
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487634317
—
CA
Enumeration date
05/10/2021
Last updated
05/10/2021
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