Healthcare Provider Details

I. General information

NPI: 1316955834
Provider Name (Legal Business Name): A & K MEDICAL SUPPLIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2990 E COLORADO BLVD 105
PASADENA CA
91107-4444
US

IV. Provider business mailing address

2990 E COLORADO BLVD 105
PASADENA CA
91107-4444
US

V. Phone/Fax

Practice location:
  • Phone: 626-356-0661
  • Fax: 626-356-4841
Mailing address:
  • Phone: 626-356-0661
  • Fax: 626-356-4841

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. CARAPET CHOKECHYAN
Title or Position: PRESIDENT
Credential:
Phone: 626-356-0661