Organization
MAXI-MED SUPPLES, INC
Active
Other names
Maxi-Med Supples
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALENUSH ELLEN AYVAZYAN (PRESDENT)
(805) 578-8668
Entity
Organization
Contact information
Practice address
2315 KUEHNER DRIVE, #105, SIMI VALLEY, CA 93063-3960
(805) 578-8668
Mailing address
2315 KUEHNER DRIVE, SUITE #105, SIMI VALLEY, CA 93063-3960
(805) 978-8668
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196738468
—
CA
Enumeration date
10/19/2009
Last updated
04/24/2013
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