Shoushan Gukasyan in Glendale - Durable Medical Equipment & Medical Supplies

Shoushan Gukasyan - NPI 1548355365

Shoushan Gukasyan is a Durable Medical Equipment & Medical Supplies in Glendale, California. Shoushan Gukasyan practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for Shoushan Gukasyan is 1548355365. The last update date is 2020-08-22.

Shoushan Gukasyan's current location address is 905 Graynold Ave, Glendale, California. You can contact this provider via phone number 8189568234 and fax number 8187671781. The mailing address for Shoushan Gukasyan is 905 Graynold Ave, Glendale, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Shoushan Gukasyan
Address 905 Graynold Ave, Glendale, California
Phone Number 8189568234
Fax Number 8187671781
Sole Proprietor --
Credentials --

Authorized Official

Title or Position GENERAL MA
Authorized Official Name Gukasyan Vartan
Credentials HMDR EXEMP
Telephone Number 8187677003

NPI Number Detail

NPI Number 1548355365
Provider Enumeration Date 2006-10-04
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 905 Graynold Ave
City Glendale
State California (CA)
Post Code 912022638
Phone Number 8189568234
Fax Number 8187671781

Provider's Primary Taxonomy Detail

Speciality Durable Medical Equipment & Medical Supplies
Taxonomy 332B00000X
Licence No 102722
Definition:
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
DME03085F CA --

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FAQs about Shoushan Gukasyan

What is the unique 10-digit identifier code assigned to Shoushan Gukasyan by the Centers for Medicare & Medicaid Services?

The Shoushan Gukasyan has been issued the NPI (National Provider Identifier) 1548355365 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Shoushan Gukasyan is physically located?

The Shoushan Gukasyan is situated at the following address: 905 Graynold Ave, Glendale, CA 912022638.

What is Shoushan Gukasyan's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Shoushan Gukasyan is Durable Medical Equipment & Medical Supplies, and the taxonomy classification code that categorizes this area of expertise is 332B00000X.

On what date did the Shoushan Gukasyan receive the assignment of its 1548355365 from the Centers for Medicare & Medicaid Services?

The Shoushan Gukasyan was issued its 1548355365 by the Centers for Medicare & Medicaid Services on 2006-10-04.

As of what date were the Shoushan Gukasyan's details last updated?

The information pertaining to the Shoushan Gukasyan, including its address, specialty, and other details, was most recently updated on 2020-08-22.

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