Organization
AVANGARD SOUZ BUSINESS, INC.
Active
Other names
Long Life Medical Health Supply
Organization subpart
No
Provider details
NPI number
Authorized official
ARA AROUTYUONIAN (PRESIDENT)
(661) 799-9555
Entity
Organization
Contact information
Practice address
23120 LYONS AVE, SUITE 8, NEWHALL, CA 91321-2668
(661) 799-9555
(661) 799-0553
Mailing address
23120 LYONS AVE, SUITE 8, NEWHALL, CA 91321-2668
(661) 799-9555
(661) 799-0553
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
48761
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376729699
—
CA
Enumeration date
01/16/2008
Last updated
01/24/2012
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