Optimum Healthcare Products, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

OPTIMUM HEALTHCARE PRODUCTS, INC.

Practice address

1016 E Broadway
Suite 107
Glendale, CA 91205-4532

Phone

(818) 500-1792

Fax

(818) 500-8971

NPI assigned

Feb 27, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Olga Grigoryeva

Title

President

Phone

(818) 500-1792

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1114196805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 E BROADWAY",
            "address_2": "SUITE 107",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054532",
            "telephone_number": "818-500-1792",
            "fax_number": "818-500-8971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 E BROADWAY",
            "address_2": "SUITE 107",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054532",
            "telephone_number": "818-500-1792",
            "fax_number": "818-500-8971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM HEALTHCARE PRODUCTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "GRIGORYEVA",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-500-1792",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gevork Ordakyan

• Durable Medical Equipment & Medical Supplies in Glendale, CA
• Providers in Glendale, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.