Organization
INTERSTATE MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAIG CHRISTOPHER AVAKIAN COF (CEO)
(949) 386-4054
Entity
Organization
Contact information
Practice address
1096 N WESTERN AVE STE 202, LOS ANGELES, CA 90029-2340
(949) 386-4054
(800) 886-7086
Mailing address
PO BOX 3342, GLENDALE, CA 91221-0342
(949) 386-4054
(800) 886-7086
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/12/2021
Last updated
06/12/2025
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