Organization
FAMILY HEALTHCARE MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GAREGIN KAMPURYAN (OWNER)
(323) 582-2045
Entity
Organization
Contact information
Practice address
3820 E. SLAUSON AVE STE C, MAYWOOD, CA 90270-4750
(323) 582-2336
(323) 582-2045
Mailing address
3820 E. SLAUSON AVE STE C, MAYWOOD, CA 90270-4750
(323) 582-2336
(323) 582-2045
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
332B00000X
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME02745F
—
CA
Enumeration date
02/20/2007
Last updated
02/06/2008
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