Organization
AVH MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAKHI SHUSHIASHVILI (PRESEDNT)
(818) 842-0501
Entity
Organization
Contact information
Practice address
1113 N HOLLYWOOD WAY, BURBANK, CA 91505-2528
(818) 842-0501
(818) 842-0584
Mailing address
1113 N HOLLYWOOD WAY, BURBANK, CA 91505-2528
(818) 842-0501
(818) 842-0584
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
000231817600010
CA
Other
Enumeration date
03/10/2008
Last updated
01/08/2010
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