Organization
PAULS SHOE REPAIR AND SALES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIROS MISHIDZHYAN (PRESIDENT)
(818) 507-0314
Entity
Organization
Contact information
Practice address
1102 S GLENDALE AVE, GLENDALE, CA 91205-3203
(818) 507-0314
(818) 507-9962
Mailing address
1102 S GLENDALE AVE, GLENDALE, CA 91205-3203
(818) 507-0314
(818) 507-9962
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
08/14/2007
Last updated
07/02/2020
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