Healthcare Provider Details
I. General information
NPI: 1922261593
Provider Name (Legal Business Name): HEALTHY STANDARDS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/03/2008
Last Update Date: 11/17/2021
Certification Date: 11/17/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
445 W GARFIELD AVE STE 1
GLENDALE CA
91204-3208
US
IV. Provider business mailing address
445 W GARFIELD AVE STE 1
GLENDALE CA
91204-3208
US
V. Phone/Fax
- Phone: 323-721-0001
- Fax: 323-664-1212
- Phone: 323-721-0001
- Fax: 323-664-1212
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | 3034553 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 335E00000X |
| Taxonomy | Prosthetic/Orthotic Supplier |
| License Number | 3034553 |
| License Number State | CA |
VIII. Authorized Official
Name:
DAVID
SARKISIAN
Title or Position: CEO
Credential:
Phone: 323-721-0001