Individual
OVIK AVETISYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5068 HOLLYWOOD BLVD, LOS ANGELES, CA 90027-6139
(323) 666-9410
Mailing address
5068 HOLLYWOOD BLVD, LOS ANGELES, CA 90027-6139
(323) 666-9410
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1260050001
—
CA
01
—
130157
1
CA
01
—
DME02547F
1
CA
Enumeration date
02/28/2026
Last updated
02/28/2026
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