Organization
AA MEDICAL SUPPLY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREY AZOVSKIY (OWNER)
(818) 992-0623
Entity
Organization
Contact information
Practice address
20944 SHERMAN WAY STE 206A, CANOGA PARK, CA 91303-3631
(818) 992-0623
(818) 887-4161
Mailing address
20944 SHERMAN WAY STE 206A, CANOGA PARK, CA 91303-3631
(818) 992-0623
(818) 887-4161
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
46242
CA
Other
Enumeration date
01/01/2007
Last updated
08/22/2020
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