Healthcare Provider Details

I. General information

NPI: 1851615363
Provider Name (Legal Business Name): A G & Y ENTERPRISES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2010
Last Update Date: 03/07/2023
Certification Date: 06/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1009 W SAN BERNARDINO RD
COVINA CA
91722-4106
US

IV. Provider business mailing address

1009 W SAN BERNARDINO RD
COVINA CA
91722-4106
US

V. Phone/Fax

Practice location:
  • Phone: 626-209-8160
  • Fax: 626-209-8172
Mailing address:
  • Phone: 626-209-8160
  • Fax: 626-209-8172

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number50226
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number50226
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number50226
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number50226
License Number StateCA
# 6
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number50226
License Number StateCA
# 7
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number50226
License Number StateCA

VIII. Authorized Official

Name: MAGED GINDI
Title or Position: CFO/RPH
Credential:
Phone: 626-209-8160