Organization
HOMECARE MEDICAL PRODUCTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAIKOUHI HEIDI KAVOUKJIAN (VICE PRESIDENT)
(323) 666-0414
Entity
Organization
Contact information
Practice address
478 W COLORADO ST, GLENDALE, CA 91204-1504
(818) 247-7000
(818) 247-1323
Mailing address
478 W COLORADO ST, GLENDALE, CA 91204-1504
(818) 247-7000
(818) 247-1323
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHY411650
—
CA
Enumeration date
12/03/2020
Last updated
12/08/2020
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