MEDICARE: HEALTHY CHOICE MED SUP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1639272230
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHY CHOICE MED SUP

Provider Business Mailing Address
First Line	:	1218 W SUNSET BLVD
Second Line	:	#E
City	:	LOS ANGELES
State	:	CA
Zip	:	90026
Country	:	US
Telephone Number	:	213-250-0110
Fax Number	:	213-250-0120

Provider Business Practice Location Address
First Line	:	1218 W SUNSET BLVD
Second Line	:	#E
City	:	LOS ANGELES
State	:	CA
Zip	:	90026
Country	:	US
Telephone Number	:	213-250-0110
Fax Number	:	213-250-0120

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. AIDA VOSKANYAN
Credential	:
Telephone Number	:	213-250-0110

Provider Enumeration Date	:	09/07/2006
Last Update Date	:	08/22/2020

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