Healthcare Provider Details

I. General information

NPI: 1134235351
Provider Name (Legal Business Name): HARMAR MEDICAL SUPPLY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8949 1/2 WOODMAN AVE
ARLETA CA
91331-8006
US

IV. Provider business mailing address

7906 VIA MAGDALENA UNIT 10
BURBANK CA
91504-1301
US

V. Phone/Fax

Practice location:
  • Phone: 818-894-1021
  • Fax: 818-893-4809
Mailing address:
  • Phone: 818-504-6283
  • Fax: 818-504-0474

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateCA

VIII. Authorized Official

Name: MISS MARINE TERINGALIAN
Title or Position: PRESIDENT
Credential:
Phone: 818-894-1021