Healthcare Provider Details

I. General information

NPI: 1174708200
Provider Name (Legal Business Name): A & T MEDICAL EQUIPMENT, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2008
Last Update Date: 01/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 E HUNTINGTON DR
ARCADIA CA
91006-3209
US

IV. Provider business mailing address

34 E HUNTINGTON DR
ARCADIA CA
91006-3209
US

V. Phone/Fax

Practice location:
  • Phone: 626-462-1400
  • Fax: 626-462-1444
Mailing address:
  • Phone: 626-462-1400
  • Fax: 626-462-1444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number54296
License Number StateCA

VIII. Authorized Official

Name: ARTASHES GABRIYELYAN
Title or Position: PRESIDENT
Credential:
Phone: 626-462-1400