Socal Medical Supply Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

SOCAL MEDICAL SUPPLY INC

Practice address

12038 Burbank Blvd
Valley Village, CA 91607-1811

Phone

(747) 247-7724

Fax

(747) 247-7712

NPI assigned

Dec 23, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gevork Arabyan

Title

President

Phone

(747) 247-7724

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1734912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1003624024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12038 BURBANK BLVD",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916071811",
            "telephone_number": "747-247-7724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12038 BURBANK BLVD",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916071811",
            "telephone_number": "747-247-7724",
            "fax_number": "747-247-7712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCAL MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-23",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-22",
        "status": "A",
        "authorized_official_last_name": "ARABYAN",
        "authorized_official_first_name": "GEVORK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "747-247-7724"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Simonyan
• Sirmid, Inc
• Sirmid, Inc
• Miriam Siyam, LCSW
• Hillary Beth Smith, D.C.
• Socal Medtrans
• Tamar Solomon, MSW, ASW
• Solutions 2 Recovery LLC
• Sona Kazazian D.D.S. Inc.
• Brian Song, AMFT

• Oxygen Equipment & Supplies (DME) in Valley Village, CA
• Providers in Valley Village, CA by specialty
• Oxygen Equipment & Supplies (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.