MEDICARE: ROBERT ARUTYUNYAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	102618	CA

General Provider Information

NPI Number	:	1083784409
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBERT ARUTYUNYAN

Provider Business Mailing Address
First Line	:	1248 S GLENDALE BLVD
Second Line	:	Y
City	:	GLENDALE
State	:	CA
Zip	:	91205-3269
Country	:	US
Telephone Number	:	818-247-0066
Fax Number	:	818-247-0011

Provider Business Practice Location Address
First Line	:	1248 S GLENDALE BLVD
Second Line	:	Y
City	:	GLENDALE
State	:	CA
Zip	:	91205-3269
Country	:	US
Telephone Number	:	818-247-0066
Fax Number	:	818-247-0011

Authorized Official
Title or Position	:	OWNER
Name	:	MR. ROBERT ARUTYUNYAN
Credential	:
Telephone Number	:	818-247-0066

Provider Enumeration Date	:	11/09/2006
Last Update Date	:	04/01/2008

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