Organization
COLONIAL MEDICAL SUPPLY
Active
Other names
COLONIAL MEDICAL SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARMAN GAMBARYAN (PRESIDENT/CEO)
(818) 997-0344
Entity
Organization
Contact information
Practice address
6819 SEPULVEDA BL, SUITE 101, VAN NUYS, CA 91405-6528
(818) 997-0344
(818) 997-0385
Mailing address
6819 SEPULVEDA BL, SUITE 101, VAN NUYS, CA 91405-6528
(818) 997-0344
(818) 997-0385
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0002058308-0001-9
CA
Other
Enumeration date
07/05/2006
Last updated
01/09/2017
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