MEDICARE: SIS MEDICAL SUPPLY INC

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	0002335806-0001-2	CA

General Provider Information

NPI Number	:	1134396047
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SIS MEDICAL SUPPLY INC

Provider Business Mailing Address
First Line	:	9003 RESEDA BLVD # 107
Second Line	:
City	:	NORTHRIDGE
State	:	CA
Zip	:	91324-3920
Country	:	US
Telephone Number	:	818-886-2911
Fax Number	:	818-886-2728

Provider Business Practice Location Address
First Line	:	9003 RESEDA BLVD # 107
Second Line	:
City	:	NORTHRIDGE
State	:	CA
Zip	:	91324-3920
Country	:	US
Telephone Number	:	818-886-2911
Fax Number	:	818-886-2728

Authorized Official
Title or Position	:	PRESEDENT
Name	:	SIRAK ARAMYAN
Credential	:
Telephone Number	:	818-886-2911

Provider Enumeration Date	:	05/09/2008
Last Update Date	:	11/24/2008

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Directions to “SIS MEDICAL SUPPLY INC ” Practice Location

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