Healthcare Provider Details

I. General information

NPI: 1235166729
Provider Name (Legal Business Name): ARAM KARAGEOZYAN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2006
Last Update Date: 11/16/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5863 EAST IMPERIAL HWY SUITE E
SOUTH GATE CA
90280-7626
US

IV. Provider business mailing address

5863 EAST IMPERIAL HWY SUITE E
SOUTH GATE CA
90280-7626
US

V. Phone/Fax

Practice location:
  • Phone: 562-861-6232
  • Fax: 562-861-9291
Mailing address:
  • Phone: 562-861-6232
  • Fax: 562-861-9291

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number101096
License Number StateCA

VIII. Authorized Official

Name: MR. ARAM KARAGEOZYAN
Title or Position: PRESIDENT
Credential: OWNER
Phone: 562-861-6232