MEDICARE: LAS TUNAS MEDICAL EQUIPMENT 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

General Provider Information

NPI Number	:	1861690356
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAS TUNAS MEDICAL EQUIPMENT INC

Provider Business Mailing Address
First Line	:	1060 E LAS TUNAS DR
Second Line	:
City	:	SAN GABRIEL
State	:	CA
Zip	:	91776-1633
Country	:	US
Telephone Number	:	626-285-4622
Fax Number	:	626-285-4722

Provider Business Practice Location Address
First Line	:	1060 E LAS TUNAS DR
Second Line	:
City	:	SAN GABRIEL
State	:	CA
Zip	:	91776-1633
Country	:	US
Telephone Number	:	626-285-4622
Fax Number	:	626-285-4722

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. TIGRAN AKLYAN
Credential	:
Telephone Number	:	626-285-4622

Provider Enumeration Date	:	07/05/2007
Last Update Date	:	01/24/2008

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