Organization
FIVE STAR MEDICAL SUPPL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AIDA HOVSEPYAN (PRESIDENT)
(818) 764-0278
Entity
Organization
Contact information
Practice address
7457 LAUREL CANYON BLVD, NORTH HOLLYWOOD, CA 91605-3135
(818) 764-0278
(818) 764-0279
Mailing address
7457 LAUREL CANYON BLVD, NORTH HOLLYWOOD, CA 91605-3135
(818) 764-0278
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/21/2007
Last updated
11/20/2008
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