Healthcare Provider Details

I. General information

NPI: 1578512497
Provider Name (Legal Business Name): VSH SALES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8714 SEPULVEDA BLVD
NORTH HILLS CA
91343-5112
US

IV. Provider business mailing address

8714 SEPULVEDA BLVD
NORTH HILLS CA
91343-5112
US

V. Phone/Fax

Practice location:
  • Phone: 818-895-5901
  • Fax: 818-895-5910
Mailing address:
  • Phone: 818-895-5901
  • Fax: 818-895-5910

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License NumberCLF11750
License Number StateCA

VIII. Authorized Official

Name: MR. VAROUJAN KNAJIAN
Title or Position: PRESIDENT
Credential: OWNER
Phone: 818-895-5901