Organization
T A MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELKON GABRIYELYAN (OWNER)
(818) 352-6810
Entity
Organization
Contact information
Practice address
7906 FOOTHILL BLVD, SUNLAND, CA 91040-2937
(818) 352-6810
(818) 352-6811
Mailing address
3514 COMMUNITY AVE, GLENDALE, CA 91214-2522
(818) 249-2919
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/17/2006
Last updated
04/22/2008
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