Healthcare Provider Details

I. General information

NPI: 1740477983
Provider Name (Legal Business Name): ARLETA MEDICAL EQUIPMENT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2007
Last Update Date: 01/07/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14015 VAN NUYS BLVD SUITE B
ARLETA CA
91331-4518
US

IV. Provider business mailing address

14015 VAN NUYS BLVD SUITE B
ARLETA CA
91331-4518
US

V. Phone/Fax

Practice location:
  • Phone: 818-890-2400
  • Fax: 818-890-0900
Mailing address:
  • Phone: 818-890-2400
  • Fax: 818-890-0900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. ARMEN SHAGOYAN
Title or Position: PRESIDENT
Credential:
Phone: 818-890-2400