Healthcare Provider Details

I. General information

NPI: 1831392471
Provider Name (Legal Business Name): PRECISE COMFORT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2007
Last Update Date: 07/21/2022
Certification Date: 03/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2235 LAKE AVE SUITE 107
ALTADENA CA
91001-6001
US

IV. Provider business mailing address

2235 LAKE AVE SUITE 107
ALTADENA CA
91001-2465
US

V. Phone/Fax

Practice location:
  • Phone: 626-808-0176
  • Fax: 626-808-0179
Mailing address:
  • Phone: 626-808-0176
  • Fax: 626-808-0179

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number52879
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code332BD1200X
TaxonomyDialysis Equipment & Supplies (DME)
License Number20812
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number20812
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number20812
License Number StateCA

VIII. Authorized Official

Name: MR. VARTAN FNDRYAN
Title or Position: PRESIDENT
Credential: CDME
Phone: 626-808-0176