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NPI Code Detail

MEDICARE: GENCO MEDICAL PRODUCTS, INC.

MEDICARE: GENCO MEDICAL PRODUCTS, 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
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1235159179
Entity Type Code : Organization
Provider Name (Legal Business Name) : GENCO MEDICAL PRODUCTS, INC.
Provider Business Mailing Address
First Line : 6801 COLDWATER CANYON AVE
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91605-5162
Country : US
Telephone Number : 818-392-7600
Fax Number : 818-392-7676
Provider Business Practice Location Address
First Line : 6801 COLDWATER CANYON AVE
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91605-5162
Country : US
Telephone Number : 818-392-7600
Fax Number : 818-392-7676
Authorized Official
Title or Position : PRESIDENT
Name : MR. RUBEN GEVORGYAN
Credential :
Telephone Number : 818-392-7600
Provider Enumeration Date : 07/21/2006
Last Update Date : 08/22/2020

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Directions to “GENCO MEDICAL PRODUCTS, INC. ” Practice Location

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