Mid Valley Medical Supply, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MID VALLEY MEDICAL SUPPLY, INC.

Doing business as

Mid Valley Medical Supply, Inc.

Practice address

15246 Saticoy St
Van Nuys, CA 91405-1623

Phone

(818) 785-8315

Fax

(818) 785-8316

NPI assigned

Jul 23, 2007

Last updated

Apr 27, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Yervand Khachatryan

Title

Presiden

Phone

(818) 785-8315

Specialties & licenses 1

Addresses

Other names 1

• Mid Valley Medical Supply, Inc. Doing business as

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240790400000",
    "number": "1225238629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15246 SATICOY ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914051623",
            "telephone_number": "818-785-8315",
            "fax_number": "818-785-8316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15246 SATICOY ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914051623",
            "telephone_number": "818-785-8315",
            "fax_number": "818-785-8316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID VALLEY MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2009-04-27",
        "status": "A",
        "authorized_official_last_name": "KHACHATRYAN",
        "authorized_official_first_name": "YERVAND",
        "authorized_official_title_or_position": "PRESIDEN",
        "authorized_official_telephone_number": "818-785-8315",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid Valley Medical Supply, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Van Nuys, CA
• Providers in Van Nuys, 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 Apr 27, 2009; 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.