Organization
COVINA MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUSINE EBKARYAN (PRESIDENT)
(626) 915-8000
Entity
Organization
Contact information
Practice address
1449 N HOLLENBECK AVE, COVINA, CA 91722-1543
(626) 915-8000
(626) 915-8001
Mailing address
1449 N HOLLENBECK AVE, COVINA, CA 91722-1543
(626) 915-8000
(626) 915-8001
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
034557
CA
Other
Enumeration date
01/12/2009
Last updated
03/16/2010
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