Organization
ANAHIT GRIGORYAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANAHIT GRIGORYAN (DME OWNER)
(323) 257-5535
Entity
Organization
Contact information
Practice address
4448 EAGLE ROCK BLVD STE A, LOS ANGELES, CA 90041-3512
(323) 257-5535
(323) 257-5396
Mailing address
4448 EAGLE ROCK BLVD STE A, LOS ANGELES, CA 90041-3512
(323) 257-5535
(323) 257-5396
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
101183
CA
332B00000X
Durable Medical Equipment & Medical Supplies
18131
CA
335E00000X
Prosthetic/Orthotic Supplier
C17386
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME02836F
—
CA
Enumeration date
08/13/2006
Last updated
12/15/2011
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