| NPI | 1134305972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHOUSHAN GUKASYAN CEO 800-757-9797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: CA 59017) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: CA HMDR48741) |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: CA HMDR48741) | |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: CA HMDR48741) | |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: CA 59017) | |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2024-04-10 |