Organization
MID VALLEY MEDICAL SUPPLY, INC.
Active
Other names
Mid Valley Medical Supply, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YERVAND KHACHATRYAN (PRESIDEN)
(818) 785-8315
Entity
Organization
Contact information
Practice address
15246 SATICOY ST, VAN NUYS, CA 91405-1623
(818) 785-8315
(818) 785-8316
Mailing address
15246 SATICOY ST, VAN NUYS, CA 91405-1623
(818) 785-8315
(818) 785-8316
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
CA
Other
Enumeration date
07/23/2007
Last updated
04/27/2009
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