Individual
ANAHIT ANA GRIGORYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4448 EAGLE ROCK BLVD, SUITE A, LOS ANGELES, CA 90041-3512
(323) 257-5535
(323) 257-5396
Mailing address
4448 EAGLE ROCK BLVD, SUITE A, LOS ANGELES, CA 90041-3512
(323) 257-5535
(323) 257-5396
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
101183
CA
332B00000X
Durable Medical Equipment & Medical Supplies
18131
CA
335E00000X
Prosthetic/Orthotic Supplier
C17386
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME02836F
—
CA
Enumeration date
12/02/2011
Last updated
12/02/2011
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