Organization Active NPI

Ag Medical Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Burbank, CA
National Provider Identifier
1124257118
Registry record updated Jul 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
101-252329 Issued in CA
Legal business name
AG MEDICAL SUPPLY INC
Practice address
4020 W Magnolia Blvd Ste C
Burbank, CA 91505-2828
Phone
(818) 846-1111
Fax
(818) 276-8371
NPI assigned
Jul 10, 2009
Last updated
Jul 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2010

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

Authorized official

Name
Gaiane Aroush
Title
President
Phone
(818) 846-1411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 101-252329 CA Primary

Addresses

Primary practice location

4020 W Magnolia Blvd Ste C
Burbank, CA 91505-2828

Mailing address

4020 W Magnolia Blvd Ste C
Burbank, CA 91505-2828
Phone (818) 846-1111

National Provider Directory

National Provider Directory

Locations

4020 W Magnolia Blvd
Burbank, CA 91505
Phone (818) 567-6366

4020 W Magnolia Blvd
Ste C
Burbank, CA 91505
Phone (818) 736-5450

NPI Registry JSON

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280188800000",
    "number": "1124257118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 W MAGNOLIA BLVD STE C",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052828",
            "telephone_number": "818-846-1111",
            "fax_number": "818-276-8371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 W MAGNOLIA BLVD STE C",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052828",
            "telephone_number": "818-846-1111",
            "fax_number": "818-276-8371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AG MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-10",
        "last_updated": "2010-07-27",
        "status": "A",
        "authorized_official_last_name": "AROUSH",
        "authorized_official_first_name": "GAIANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-846-1411"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "101-252329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; 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.