Healthcare Provider Details

I. General information

NPI: 1861472672
Provider Name (Legal Business Name): HOVIG NARGIZIAN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2006
Last Update Date: 01/06/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15434 DEVONSHIRE ST
MISSION HILLS CA
91345-2619
US

IV. Provider business mailing address

15434 DEVONSHIRE ST
MISSION HILLS CA
91345-2619
US

V. Phone/Fax

Practice location:
  • Phone: 818-830-2445
  • Fax: 818-830-1435
Mailing address:
  • Phone: 818-830-2445
  • Fax: 818-830-1435

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberSRYAP9720722700002AC
License Number StateCA

VIII. Authorized Official

Name: HOVIG J NARGIZIAN
Title or Position: CEO
Credential:
Phone: 818-830-2445