Healthcare Provider Details

I. General information

NPI: 1952534273
Provider Name (Legal Business Name): A2Z MEDICAL SUPPLY DEPOT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2009
Last Update Date: 01/30/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3907 COCHRAN ST SUITE C
SIMI VALLEY CA
93063-2370
US

IV. Provider business mailing address

3907 COCHRAN ST SUITE C
SIMI VALLEY CA
93063-2370
US

V. Phone/Fax

Practice location:
  • Phone: 805-582-1022
  • Fax: 805-582-2285
Mailing address:
  • Phone: 805-582-1022
  • Fax: 805-582-2285

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: EMMA KAZARIAN
Title or Position: PRESIDENT
Credential:
Phone: 805-582-1022