Organization
AGC MEDICAL SUPPLY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARSEN CHIVCHYAN (PRESIDENT)
(760) 962-0100
Entity
Organization
Contact information
Practice address
15366 11TH ST, SUITE C, VICTORVILLE, CA 92395-3726
(760) 962-0100
(760) 962-9919
Mailing address
15366 11TH ST, SUITE C, VICTORVILLE, CA 92395-3726
(760) 962-0100
(760) 962-9919
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/09/2010
Last updated
08/16/2010
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