Organization Active NPI

GHL Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • North Hollywood, CA
National Provider Identifier
1053497446
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
GHL MEDICAL SUPPLY
Practice address
12444 Victory Blvd
Suite 100
North Hollywood, CA 91606-3156
Phone
(818) 763-2557
Fax
(818) 763-2559
NPI assigned
Oct 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Khatchatour Khachik Madarian
Title
Sole Owner
Phone
(818) 763-2557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

12444 Victory Blvd
Suite 100
North Hollywood, CA 91606-3156

Mailing address

12444 Victory Blvd
Suite 100
North Hollywood, CA 91606-3156
Phone (818) 763-2557

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053497446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12444 VICTORY BLVD",
            "address_2": "SUITE 100",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063156",
            "telephone_number": "818-763-2557",
            "fax_number": "818-763-2559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12444 VICTORY BLVD",
            "address_2": "SUITE 100",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063156",
            "telephone_number": "818-763-2557",
            "fax_number": "818-763-2559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHL MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MADARIAN",
        "authorized_official_first_name": "KHATCHATOUR",
        "authorized_official_middle_name": "KHACHIK",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "818-763-2557"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.