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General NPI Number Information
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NPI Number | 1881738987
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Entity Type | Organization
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Legal Business Name | FAMILY HEALTHCARE MEDICAL SUPPLY
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 02/06/2008
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Provider Practice Location Address
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Address Line | 3820 E. SLAUSON AVE STE C
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City | MAYWOOD
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State | CA
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Zip | 90270-4750
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Country | US
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Telephone | 323-582-2336
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Fax | 323-582-2045
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Provider Business Mailing Address
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Address Line | 3820 E. SLAUSON AVE STE C
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City | MAYWOOD
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State | CA
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Zip | 90270-4750
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Country | US
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Telephone | 323-582-2336
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Fax | 323-582-2045
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Authorized Official
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Title or Position | OWNER
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Name | MR. GAREGIN KAMPURYAN
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Credential |
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Telephone | 323-582-2045
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 332B00000X
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License Number State | CA
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