Organization
LACRESCENTA MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA SHARYAN (OWNER)
(818) 542-9800
Entity
Organization
Contact information
Practice address
3131 FOOTHILL BLVD STE G, LA CRESCENTA, CA 91214-4229
(818) 542-9800
(818) 542-9830
Mailing address
3131 FOOTHILL BLVD STE G, LA CRESCENTA, CA 91214-4229
(818) 542-9800
(818) 542-9830
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
101418
CA
Other
Enumeration date
07/11/2006
Last updated
09/19/2007
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